Kelly, Dennis William

Kelly, Dennis William is an individual health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kelly, Dennis William can be contacted via phone (707) 423-7055.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Phone: (707) 423-7055
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE 00005844 Washington
Dental Providers / General Practice 1223G0001X 53529 California

Profile Details

NPI number 1376524132
LBN Legal business name Kelly, Dennis William
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
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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