KELLY DENTAL LLC

SPRINGFIELD, MO
NPI1922435148
Entity TypeOrganization
Authorized ContactMICHAEL CHASE KELLY
Dentist
417-881-1213
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: MO  2013017374)
Enumeration Date2013-10-02
Last Update Date2013-10-02
Business Address
KELLY DENTAL LLC
1655 S. ENTERPRISE AVE STE. A-3
SPRINGFIELD, MO 65804
Phone number: 417-881-1213
Mailing Address
KELLY DENTAL LLC
1655 S ENTERPRISE AVE STE A3
SPRINGFIELD, MO 65804-1864
Phone number: 417-881-1213