Organization
KELLEY AND HOLT PLLC
Active
Other names
Brookdale Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHELITA KAYE KELLEY DDS (OWNER/DENTIST)
(704) 599-3901
Entity
Organization
Contact information
Practice address
9601 BROOKDALE DR, SUITE 400, CHARLOTTE, NC 28215-8725
(704) 599-3901
Mailing address
9601 BROOKDALE DR, SUITE 400, CHARLOTTE, NC 28215-8725
(704) 599-3901
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7311
NC
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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