Robert Odie Kelly D.D.S.

NPI 1063412443 - Dentist - 1223G0001X

NPI Details
NPI 1063412443
Gender Male
Enumeration Date 07/28/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
302 N RIDGEWAY DR
CLEBURNE TX, 76033-5153, US
Phone (817) 641-2511
Fax (817) 641-2514
Business Location
302 N RIDGEWAY DR
CLEBURNE TX, 76033-5153, US
Phone (817) 641-2511
Fax (817) 641-2514
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 9074
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According to our database, Dr. Robert Odie Kelly D.D.S. NPI is 1063412443, taxonomy code is 1223G0001X and license number is 9074, license state is located at Texas. Robert Odie Kelly D.D.S. physically located at 302 N Ridgeway Dr, Cleburne TX, 76033-5153. NPI Number Robert Odie Kelly D.D.S. has the Individual type.

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1063412443 NPI number is provided on an as is basis without warranty of any kind. 1063412443 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Odie Kelly D.D.S. are for informational purposes only.