| NPI | 1679682751 |
|---|---|
| Doing Business As | KELLY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH THOMAS KELLY President/Owner 570-587-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS028710L) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS017660L) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-07-24 |