RANDALL JAMES KELLEY

PROVO, UT
NPI1538387154
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  33052)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
-- RANDALL JAMES KELLEY D.M.D.
275 N 500 W SUITE C
PROVO, UT 84601-3006
Phone number: 801-374-5768
Mailing Address
-- RANDALL JAMES KELLEY D.M.D.
9255 MAISON DR
SANDY, UT 84093-2427
Phone number: 650-218-0069