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1003416017
PHILLIP JEFFERY KELEMEN
PORT ORANGE, FL
NPI
1003416017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN9377)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
PHILLIP JEFFERY KELEMEN DDS
5913 PLAINVIEW DR
PORT ORANGE, FL 32127-8911
Phone number: 386-882-3139
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Mailing Address
PHILLIP JEFFERY KELEMEN DDS
5913 PLAINVIEW DR
PORT ORANGE, FL 32127-8911
Phone number: 386-882-3139
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