Mantei, Kelly Carrothers

Mantei, Kelly Carrothers is an individual health care provider with primary practice located at 2225 A1A S Ste A3 , St Augustine FL 32080-6374. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mantei, Kelly Carrothers can be contacted via phone (904) 471-7300.

Contact Information

Primary practice address
2225 A1A S Ste A3 St Augustine FL 32080-6374
Phone: (904) 471-7300
Fax: (904) 471-2708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN15067 Florida

Profile Details

NPI number 1508876566
LBN Legal business name Mantei, Kelly Carrothers
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated May 9th, 2016 - about 9 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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