DR. Kelly Harrelson, DDS

NPI #1366935801 in Roanoke, Texas

Provider Information

NPI Number: 1366935801
Entity Type: Individual
Name: DR. Kelly Harrelson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 10, 2018
Last Updated: Jun 10, 2018

Practice Location

Address: 1405 CANNON PKWY
City: Roanoke
State: Texas
ZIP Code: 76262-3620
Phone: (918) 413-2774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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