DR. Kelly Ann Dezura, D.M.D.

NPI #1306009881 in Clackamas, Oregon

Provider Information

NPI Number
1306009881
Entity Type
Individual
Name
DR. Kelly Ann Dezura, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
D.M.D.
Enumeration Date
Jul 6, 2008
Last Updated
Aug 28, 2013

Practice Location

Address
10181 SE SUNNYSIDE RD
Address 2
OTOLARYNGOLOGY (ENT)
State
Oregon
ZIP Code
97015
Phone
(510) 571-4727

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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