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1447821319
JACOB D KELLY DDS, INC.
ROSEVILLE, CA
NPI
1447821319
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Entity Type
Organization
Authorized Contact
JACOB DEAN KELLY
Owner Dentist
916-782-9479
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-07-01
Last Update Date
2021-07-01
Business Address
JACOB D KELLY DDS, INC.
2360 PROFESSIONAL DR STE 100
ROSEVILLE, CA 95661-7782
Phone number: 916-782-9479
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Mailing Address
JACOB D KELLY DDS, INC.
2360 PROFESSIONAL DR STE 100
ROSEVILLE, CA 95661-7782
Phone number: 916-782-9479
Copy
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