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1013116656
R. KELLY DDS, INC.
ORANGE, CA
NPI
1013116656
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Entity Type
Organization
Authorized Contact
RUSSELL A. KELLY
Owner
714-532-3331
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: CA 43284)
Enumeration Date
2007-07-13
Last Update Date
2007-07-13
Business Address
R. KELLY DDS, INC.
951 N TUSTIN ST
ORANGE, CA 92867-5902
Phone number: 714-532-3331
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Mailing Address
R. KELLY DDS, INC.
951 N TUSTIN ST
ORANGE, CA 92867-5902
Phone number: 714-532-3331
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