Individual
DR. ROBERT DOUGLAS KELSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
27005 76TH AVE, DEPARTMENT OF DENTAL MEDICINE, NEW HYDE PARK, NY 11040-1433
(718) 470-7120
(718) 347-3483
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-7120
(718) 347-3483
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
044565
NY
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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