Organization
JANICE KAELEY DDS, A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE KAELEY DDS (PRESIDENT)
(209) 648-9896
Entity
Organization
Contact information
Practice address
9301 FIRCREST LN, SUITE #5, SAN RAMON, CA 94583-3960
(925) 557-7115
Mailing address
3762 VERONA AVE, TURLOCK, CA 95382-0344
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
57658
CA
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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