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
- City
- Los Altos Hills
- State
- California
- 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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