Patrick J Kelly DDS , P.c
NPI #1194081273 in Lincoln Park, Michigan
Provider Information
- NPI Number
- 1194081273
- Entity Type
- Organization
- Organization Name
- Patrick J Kelly DDS , P.c
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 3, 2012
- Last Updated
- Apr 3, 2012
Practice Location
- Address
- 4009 FORT ST
- City
- Lincoln Park
- State
- Michigan
- ZIP Code
- 48146-4110
- Phone
- (313) 928-8555
Authorized Official
- Name
- MS. SHAWN M LAVOIE
- Title
- INSURANCE BILLER
- Phone
- 31392885555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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