DR. Patrick Dale Kelly, DDS

NPI #1982757456 in Bowman, North Dakota

Provider Information

NPI Number: 1982757456
Entity Type: Individual
Name: DR. Patrick Dale Kelly, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 608 HWY 12 WEST
City: Bowman
State: North Dakota
ZIP Code: 58623-0710
Phone: (701) 523-3255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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