MARK T KELLY

OKLAHOMA CITY, OK
NPI1578656393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  5869)
Enumeration Date2006-10-02
Last Update Date2007-07-09
Business Address
-- MARK T KELLY
3637 NW 39TH ST
OKLAHOMA CITY, OK 73112-6309
Phone number: 405-942-7755
Mailing Address
-- MARK T KELLY
415 N GRAND AVE
PUEBLO, CO 81003-3111
Phone number: 719-546-3333
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