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1467945196
KELLY MARIE KIDWELL
TAMPA, FL
NPI
1467945196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL 23360)
Enumeration Date
2018-06-07
Last Update Date
2018-06-07
Business Address
Dr. KELLY MARIE KIDWELL DMD
9710 N ARMENIA AVE
TAMPA, FL 33612-7507
Phone number: 813-930-8300
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Mailing Address
Dr. KELLY MARIE KIDWELL DMD
603 S OREGON AVE APT E
TAMPA, FL 33606-2577
Phone number: 727-430-3738
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