Wayne G Kelly DDS PC

NPI #1750762282 in Arverne, New York

Provider Information

NPI Number: 1750762282
Entity Type: Organization
Organization Name: Wayne G Kelly DDS PC
Primary Specialty: Dentist
Enumeration Date: Jun 10, 2015
Last Updated: Jun 10, 2015

Practice Location

Address: 342 BEACH 54TH ST
City: Arverne
State: New York
ZIP Code: 11692-1782
Phone: (718) 474-0801

Authorized Official

Name: DR. WAYNE GEORGE KELLY, DDS
Title: DENTIST/OWNER
Phone: (718) 474-0801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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