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Organization

DR. KELLI DMD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KELLI EBERHARDT SALOMON DMD (OWNER)
(239) 304-1900
Entity
Organization

Contact information

Practice address
1729 HERITAGE TRL # 904, NAPLES, FL 34112-7591
(239) 304-1900
(239) 304-1917
Mailing address
1729 HERITAGE TRL # 904, NAPLES, FL 34112-7591
(239) 304-1900
(239) 304-1917

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN22050
FL

Other

Enumeration date
02/28/2018
Last updated
02/28/2018
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