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1043659568
MICHAEL CHASE KELLY
SPRINGFIELD, MO
NPI
1043659568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 2013017374)
Enumeration Date
2013-06-18
Last Update Date
2013-06-18
Business Address
Dr. MICHAEL CHASE KELLY D.D.S.
1655 S ENTERPRISE AVE A-3
SPRINGFIELD, MO 65804-1850
Phone number: 417-881-1213
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Mailing Address
Dr. MICHAEL CHASE KELLY D.D.S.
1655 S ENTERPRISE AVE A-3
SPRINGFIELD, MO 65804-1850
Phone number: 417-881-1213
Copy
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