Kelley, Thomas Hudson

Kelley, Thomas Hudson is an sole proprietor health care provider with primary practice located at 600 N Mountain Ave A204, Upland CA 91786-4359. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Kelley, Thomas Hudson can be contacted via phone (909) 946-4477.

Contact Information

Primary practice address
600 N Mountain Ave A204 Upland CA 91786-4359
Phone: (909) 946-4477
Fax: (909) 981-5586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 25558 California

Profile Details

NPI number 1578609673
LBN Legal business name Kelley, Thomas Hudson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 18 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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