SAMUEL KELLY
Dentist - General Practice
Active
Individual
NPI: 1174018022
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | D10822 (OR) |
Frequently Asked Questions
NPI 1174018022 is the National Provider Identifier for SAMUEL KELLY, a Dentist - General Practice provider located in Salem, OR. This NPI was enumerated on June 23, 2018.
SAMUEL KELLY practices at 3380 ASTORIA WAY NE, Salem, OR 97305.
Quick Facts
- NPI
- 1174018022
- Type
- Individual
- Enumerated
- Jun 23, 2018
- Last Updated
- Jun 23, 2018
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