DR. KELLY DEZURA, D.M.D.

Dentist - Oral and Maxillofacial Surgery

Active Individual
NPI: 1306009881

Practice Address

10181 SE SUNNYSIDE RD
OTOLARYNGOLOGY (ENT)
Clackamas, OR 97015

Phone: (510) 571-4727

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes D9858 (OR)

Frequently Asked Questions

NPI 1306009881 is the National Provider Identifier for DR. KELLY DEZURA, D.M.D., a Dentist - Oral and Maxillofacial Surgery provider located in Clackamas, OR. This NPI was enumerated on July 6, 2008.
DR. KELLY DEZURA, D.M.D. practices at 10181 SE SUNNYSIDE RD, OTOLARYNGOLOGY (ENT), Clackamas, OR 97015.

Quick Facts

NPI
1306009881
Type
Individual
Enumerated
Jul 6, 2008
Last Updated
Aug 28, 2013

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