DR. David Randolph Kelly, DDS

NPI #1124048491 in Bristol, Virginia

Provider Information

NPI Number: 1124048491
Entity Type: Individual
Name: DR. David Randolph Kelly, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1941 EUCLID AVE
City: Bristol
State: Virginia
ZIP Code: 24201-3607
Phone: (276) 669-0112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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