John J Kelly DDS

NPI 1619171121 - Dentist - 122300000X

NPI Details
NPI 1619171121
Gender Male
Enumeration Date 06/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5350 W DEVON AVENUE
CHICAGO IL, 60646-4143, US
Phone (773) 631-6844
Fax (773) 631-7438
Business Location
5350 W DEVON AVENUE
CHICAGO IL, 60646-4143, US
Phone (773) 631-6844
Fax (773) 631-7438
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dr. John J Kelly DDS NPI is 1619171121, taxonomy code is 122300000X John J Kelly DDS physically located at 5350 W Devon Avenue, Chicago IL, 60646-4143. NPI Number John J Kelly DDS has the Individual type.

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1619171121 NPI number is provided on an as is basis without warranty of any kind. 1619171121 is maintained by the National Plan & Provider Enumeration System. The contents of John J Kelly DDS are for informational purposes only.