DR. Jeremiah Joseph Kelliher JR., DDS

NPI #1275837825 in Springfield, Virginia

Provider Information

NPI Number: 1275837825
Entity Type: Individual
Name: DR. Jeremiah Joseph Kelliher JR., DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 22, 2010
Last Updated: Dec 22, 2010

Practice Location

Address: 6120 BRANDON AVE
Address 2: SUITE 211
City: Springfield
State: Virginia
ZIP Code: 22150-2522
Phone: (703) 451-5030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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