Andrew W Kelly DDS Pllc
NPI #1700203247 in Clemmons, North Carolina
Provider Information
- NPI Number
- 1700203247
- Entity Type
- Organization
- Organization Name
- Andrew W Kelly DDS Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 22, 2014
- Last Updated
- Mar 22, 2014
Practice Location
- Address
- 4164 CLEMMONS RD
- City
- Clemmons
- State
- North Carolina
- ZIP Code
- 27012-7520
- Phone
- (336) 766-7966
Authorized Official
- Name
- ANDREW WAYNE KELLY, DDS
- Title
- MANAGER/DENTIST
- Phone
- (336) 766-7966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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