DR. Charles Dale Kelley, D.D.S.

NPI #1861533143 in Lamar, Colorado

Provider Information

NPI Number
1861533143
Entity Type
Individual
Name
DR. Charles Dale Kelley, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Feb 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
603 S 1ST ST
City
Lamar
ZIP Code
81052-3205
Phone
(719) 336-7719

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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