Peter J Kelly, DDS

NPI #1649558412 in St Augustine, Florida

Provider Information

NPI Number
1649558412
Entity Type
Individual
Name
Peter J Kelly, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 28, 2011
Last Updated
Mar 29, 2013

Practice Location

Address
2520 US HIGHWAY 1 S
State
Florida
ZIP Code
32086-6194
Phone
(904) 797-4833

Specialties & Taxonomy Codes

Specialty
Dentist

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