Organization
TERRY M. KELLY DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY MICHAEL KELLY DMD (OWNER DENTIST)
(813) 745-3968
Entity
Organization
Contact information
Practice address
12902 MAGNOLIA DRIVE, HEAD AND NECK CLINIC, TAMPA, FL 33612
(813) 979-3968
(813) 745-7464
Mailing address
701 S HOWARD AVE STE 106-307, TAMPA, FL 33606-2473
(813) 745-3968
(813) 745-7464
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN11407
FL
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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