DR. Kelly Nicole West, DDS

NPI #1760582480 in Grafton, Wisconsin

Provider Information

NPI Number
1760582480
Entity Type
Individual
Name
DR. Kelly Nicole West, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Endodontics
Credential
DDS
Enumeration Date
Sep 23, 2006
Last Updated
Sep 23, 2015

Practice Location

Address
1245 CHEYENNE AVE
Address 2
SUITE 104
ZIP Code
53024
Phone
(262) 377-2668

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - EndodonticsEndodontics

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