Sara Kellogg DDS PC

NPI #1669916227 in Jackson, Michigan

Provider Information

NPI Number: 1669916227
Entity Type: Organization
Organization Name: Sara Kellogg DDS PC
Primary Specialty: Dentist
Enumeration Date: Dec 15, 2016
Last Updated: Dec 15, 2016

Practice Location

Address: 2633 SHIRLEY DR
City: Jackson
State: Michigan
ZIP Code: 49201-8633
Phone: (517) 787-2516

Authorized Official

Name: DR. SARA KELLOGG, DDS
Title: DDS/OWNER
Phone: (517) 787-2516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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