RANDALL SHAWN KELLY

ROSEVILLE, CA
NPI1376632430
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  29984)
Enumeration Date2006-10-12
Last Update Date2017-04-04
Business Address
Dr. RANDALL SHAWN KELLY D.D.S.
700 SUNRISE AVE SUITE E
ROSEVILLE, CA 95661-4561
Phone number: 916-773-1122
Mailing Address
Dr. RANDALL SHAWN KELLY D.D.S.
700 SUNRISE AVE SUITE E
ROSEVILLE, CA 95661-4561
Phone number: 916-773-1122