| Kellam Orthodontics | |
|
539 Harkle Rd Ste D Santa Fe NM 87505-4783 | |
| (505) 982-5531 | |
| Not Available |
| Full Name | Kellam Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 539 Harkle Rd Ste D, Santa Fe, New Mexico |
| Authorized Official Name and Position | Stephen a Kellam (PRESIDENT/OWNER) |
| Authorized Official Contact | 5059825531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kellam Orthodontics 539 Harkle Rd Ste D Santa Fe NM 87505-4783 Ph: (505) 982-5531 | Kellam Orthodontics 539 Harkle Rd Ste D Santa Fe NM 87505-4783 Ph: (505) 982-5531 |
| NPI Number | 1932485380 |
|---|---|
| Provider Enumeration Date | 10/31/2011 |
| Last Update Date | 10/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932485380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1798 (New Mexico) | Primary |
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