Severance Dental, Pllc

NPI #1790288744 in Severance, Colorado

Provider Information

NPI Number
1790288744
Entity Type
Organization
Organization Name
Severance Dental, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 15, 2018
Last Updated
Mar 15, 2018

Practice Location

Address
375 W 4TH AVE
ZIP Code
80550-2949
Phone
(970) 693-0080

Authorized Official

Name
DR. JOSHUA CHAD KELLY, DMD
Title
OWNER
Phone
(502) 295-1099

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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