Kelley, Justine R

Kelley, Justine R is an individual health care provider with primary practice located at 1540 Beacon St , Brookline MA 02446-2215. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kelley, Justine R can be contacted via phone (617) 738-1950.

Contact Information

Primary practice address
1540 Beacon St Brookline MA 02446-2215
Phone: (617) 738-1950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21171 Massachusetts

Profile Details

NPI number 1447254966
LBN Legal business name Kelley, Justine R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Sep 28th, 2007 - about 17 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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