Individual
DR. MATTHEW PATRICK KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21909 64TH AVE W, MOUNTLAKE TERRACE, WA 98043-2278
(425) 771-3505
Mailing address
21909 64TH AVE W, MOUNTLAKE TERRACE, WA 98043-2278
(425) 771-3505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 60011783
WA
Other
Enumeration date
08/22/2007
Last updated
03/25/2020
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