| NPI | 1033434659 |
|---|---|
| Doing Business As | W. DAVID KELLY, DMD |
| Entity Type | Organization |
| Authorized Contact | W DAVID KELLY Sole Member 508-799-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 12222) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-06-11 |