DR. Kelly Carrothers Mantei, DDS
NPI #1508876566 in St Augustine, Florida
Provider Information
- NPI Number
- 1508876566
- Entity Type
- Individual
- Name
- DR. Kelly Carrothers Mantei, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 9, 2006
- Last Updated
- May 9, 2016
Practice Location
- Address
- 2225 A1A S STE A3
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32080-6374
- Phone
- (904) 471-7300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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