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1285882977
RUSSELL A. KELLY
ORANGE, CA
NPI
1285882977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 43284)
Enumeration Date
2008-09-05
Last Update Date
2008-10-20
Business Address
-- RUSSELL A. KELLY DDS
951 N TUSTIN ST
ORANGE, CA 92867-5902
Phone number: 714-532-3331
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Mailing Address
-- RUSSELL A. KELLY DDS
951 N TUSTIN ST
ORANGE, CA 92867-5902
Phone number: 714-532-3331
Copy
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