Edward T Kelly IV, DMD
NPI #1124315957 in Hartford, Connecticut
Provider Information
- NPI Number
- 1124315957
- Entity Type
- Individual
- Name
- Edward T Kelly IV, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jun 30, 2011
- Last Updated
- Aug 23, 2013
Practice Location
- Address
- 114 WOODLAND ST
- City
- Hartford
- State
- Connecticut
- ZIP Code
- 06105-1208
- Phone
- (860) 714-4995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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