KELLY ELIZABETH FENNELLY

SYRACUSE, NY
NPI1164928560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-04
Last Update Date2018-04-04
Business Address
KELLY ELIZABETH FENNELLY DMD
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4148
Mailing Address
KELLY ELIZABETH FENNELLY DMD
253 BOULEVARD
POMPTON PLAINS, NJ 07444-1707
Phone number: 973-747-2645
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