Dr. Stephen A. Kellam, LLC

NPI #1932485380 in Santa Fe, New Mexico

Provider Information

NPI Number
1932485380
Entity Type
Organization
Organization Name
Dr. Stephen A. Kellam, LLC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Oct 31, 2011
Last Updated
Oct 31, 2011

Practice Location

Address
539 HARKLE RD STE D
ZIP Code
87505-4783
Phone
(505) 982-5531

Authorized Official

Name
STEPHEN A KELLAM, D.M.D., M.S.
Title
PRESIDENT/OWNER
Phone
(505) 982-5531

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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