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1376767681
MICHAEL J KELLOGG
LONGMONT, CO
NPI
1376767681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CO 230)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL J KELLOGG DDS
1616 MOUNTAIN VIEW AVE
LONGMONT, CO 80501-3210
Phone number: 303-772-3313
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Mailing Address
Dr. MICHAEL J KELLOGG DDS
1616 MOUNTAIN VIEW AVE
LONGMONT, CO 80501-3210
Phone number: 303-772-3313
Copy
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