JACOB DEAN KELLY

ROSEVILLE, CA
NPI1457769457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  63699)
Enumeration Date2014-07-23
Last Update Date2021-07-01
Business Address
Dr. JACOB DEAN KELLY D.D.S.
2360 PROFESSIONAL DR STE 100
ROSEVILLE, CA 95661-7782
Phone number: 916-782-9479
Mailing Address
Dr. JACOB DEAN KELLY D.D.S.
2360 PROFESSIONAL DR STE 100
ROSEVILLE, CA 95661-7782
Phone number: 916-782-9479