Tawaphan W Kelly, DDS

NPI #1992189674 in Abilene, Texas

Provider Information

NPI Number: 1992189674
Entity Type: Individual
Name: Tawaphan W Kelly, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 13, 2015
Last Updated: Apr 19, 2017

Practice Location

Address: 4754 S 14TH ST
City: Abilene
State: Texas
ZIP Code: 79605-4733
Phone: (325) 480-1524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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