| NPI | 1952110868 |
|---|---|
| Former Legal Business Name | DAVID P KELLY DDS |
| Entity Type | Organization |
| Authorized Contact | DAVID P KELLY Owner 520-300-0761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |