MRS. Jill Allison Kelly, IPDH

NPI #1285979625 in Acton, Maine

Provider Information

NPI Number: 1285979625
Entity Type: Individual
Name: MRS. Jill Allison Kelly, IPDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: IPDH
Enumeration Date: Dec 11, 2012
Last Updated: Dec 11, 2012

Practice Location

Address: 1881 RT. 109
City: Acton
State: Maine
ZIP Code: 04001
Phone: (207) 604-9027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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