Charles Dale Kelley D.D.S.

NPI 1861533143 - Dentist - 1223G0001X

NPI Details
NPI 1861533143
Gender Male
Enumeration Date 02/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
603 S 1ST ST
LAMAR CO, 81052-3205, US
Phone (719) 336-7719
Fax
Business Location
603 SOUTH FIRST STREET
LAMAR CT, 81052, US
Phone (719) 336-7719
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number 3591
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According to our database, Dr. Charles Dale Kelley D.D.S. NPI is 1861533143, taxonomy code is 1223G0001X and license number is 3591, license state is located at Colorado. Charles Dale Kelley D.D.S. physically located at 603 S 1st St, Lamar CO, 81052-3205. NPI Number Charles Dale Kelley D.D.S. has the Individual type.

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1861533143 NPI number is provided on an as is basis without warranty of any kind. 1861533143 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Dale Kelley D.D.S. are for informational purposes only.