Dezura, Kelly Ann

Dezura, Kelly Ann is an sole proprietor health care provider with primary practice located at 10181 Se Sunnyside Rd Otolaryngology (Ent), Clackamas OR 97015. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Dezura, Kelly Ann can be contacted via phone (510) 571-4727.

Contact Information

Primary practice address
10181 Se Sunnyside Rd Otolaryngology (Ent) Clackamas OR 97015
Phone: (510) 571-4727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D9858 Oregon

Profile Details

NPI number 1306009881
LBN Legal business name Dezura, Kelly Ann
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2008
Last updated Aug 28th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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