Thomas C. Kelley DDS Msd LLC

NPI #1780998997 in Brookfield, Wisconsin

Provider Information

NPI Number
1780998997
Entity Type
Organization
Organization Name
Thomas C. Kelley DDS Msd LLC
Primary Specialty
Dentist - Periodontics
Enumeration Date
Jul 29, 2010
Last Updated
Jul 29, 2010

Practice Location

Address
17280 W NORTH AVE STE 203
ZIP Code
53045-4366
Phone
(262) 787-9075

Authorized Official

Name
DR. THOMAS C KELLEY, DDS, MSD
Title
PERIODONTIST
Phone
(262) 787-9075

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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