| Patrick J. Kelly, Dds, Pllc | |
|
35992 S Gratiot Ave Suite A Clinton Township MI 48035-1776 | |
| (586) 790-7360 | |
| (586) 790-8860 |
| Full Name | Patrick J. Kelly, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 35992 S Gratiot Ave, Clinton Township, Michigan |
| Authorized Official Name and Position | Patrick James Kelly (OWNER) |
| Authorized Official Contact | 5867907360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick J. Kelly, Dds, Pllc 35992 S Gratiot Ave Suite A Clinton Township MI 48035-1776 Ph: (586) 790-7360 | Patrick J. Kelly, Dds, Pllc 35992 S Gratiot Ave Suite A Clinton Township MI 48035-1776 Ph: (586) 790-7360 |
| NPI Number | 1770896474 |
|---|---|
| Provider Enumeration Date | 07/22/2010 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770896474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901009898 (Michigan) | Primary |
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