Wilson, Kelly Jay

Wilson, Kelly Jay is an individual health care provider with primary practice located at 5800 Stanford Ranch Rd Bldg #900, Rocklin CA 95765-4385. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wilson, Kelly Jay can be contacted via phone (916) 663-5555.

Contact Information

Primary practice address
5800 Stanford Ranch Rd Bldg #900 Rocklin CA 95765-4385
Phone: (916) 663-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 52954 California

Profile Details

NPI number 1942338819
LBN Legal business name Wilson, Kelly Jay
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 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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