Gwendolyn Kelly Dds
LBN: Gwendolyn Kelly Dds & Assoc.
Gwendolyn Kelly Dds is an health care organization with primary practice located at 6230 W Manchester Ave , Los Angeles CA 90045-3801. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is the primary health care specialty.
Gwendolyn Kelly Dds & Assoc. can be contacted via phone (310) 412-9291, or through Kelly, Gwendolyn A via phone (310) 412-9291.
Contact Information
Primary practice address
6230 W Manchester Ave
Los Angeles CA 90045-3801
Phone: (310) 412-9291
Fax:
Website:
Authorized official contact:
Name: Kelly, Gwendolyn A Doctor of Dental Surgery (DDS)
Phone: (310) 412-9291
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 29936 | California |
| Dental Providers / Endodontics | 1223E0200X | 45472 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 20070 | California |
Profile Details
| NPI number | 1558772723 |
|---|---|
| LBN Legal business name | Gwendolyn Kelly Dds & Assoc. |
| DBA Doing business as | Gwendolyn Kelly Dds |
| Authorized official | Kelly, Gwendolyn A Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2014 |
| Last updated | May 9th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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