James S. Kelly D.m.d. a Profesional Corp

NPI #1275994964 in Los Altos Hills, California

Provider Information

NPI Number
1275994964
Entity Type
Organization
Organization Name
James S. Kelly D.m.d. a Profesional Corp
Primary Specialty
Clinic/Center
Enumeration Date
Mar 9, 2016
Last Updated
Mar 9, 2016

Practice Location

Address
23450 RAVENSBURY AVE
ZIP Code
94024-6517
Phone
(650) 380-2616

Authorized Official

Name
DR. JAMES SCOTT KELLY, D.M.D.
Title
PRESIDENT
Phone
(650) 380-2616

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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