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1306834304
WAYNE G KELLY
ARVERNE, NY
NPI
1306834304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 037615)
Enumeration Date
2005-10-12
Last Update Date
2015-12-17
Business Address
Dr. WAYNE G KELLY DDS.
342 BEACH 54 ST
ARVERNE, NY 11692
Phone number: 718-474-0801
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Mailing Address
Dr. WAYNE G KELLY DDS.
342 BEACH 54TH ST
ARVERNE, NY 11692-1782
Phone number: 718-474-0801
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