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1952663460
TRENT MERRILL KELLY
IDAHO FALLS, ID
NPI
1952663460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OH 30023683)
Enumeration Date
2012-06-11
Last Update Date
2023-11-29
Business Address
Dr. TRENT MERRILL KELLY DDS
1991 W BROADWAY ST
IDAHO FALLS, ID 83402-3041
Phone number: 208-999-4746
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Mailing Address
Dr. TRENT MERRILL KELLY DDS
1991 W BROADWAY ST
IDAHO FALLS, ID 83402-3041
Phone number: 208-999-4746
Copy
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