DR. Edward M Kelly JR., DMD

NPI #1164616488 in Jarrettsville, Maryland

Provider Information

NPI Number: 1164616488
Entity Type: Individual
Name: DR. Edward M Kelly JR., DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 29, 2007
Last Updated: Aug 29, 2007

Practice Location

Address: 1726 W JARRETTSVILLE RD
City: Jarrettsville
State: Maryland
ZIP Code: 21804-1524
Phone: (410) 557-7766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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