MARK W KELSO

NOME, AK
NPI1205918729
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AK  695)
Enumeration Date2006-10-20
Last Update Date2007-07-08
Business Address
-- MARK W KELSO DDS
306 W 5TH AVE
NOME, AK 99762-0966
Phone number: 907-443-3311
Mailing Address
-- MARK W KELSO DDS
PO BOX 1308
NOME, AK 99762-1308
Phone number: 907-443-3309