| Kelly Road Dentistry Pllc | |
|
25810 Kelly Rd Ste 2 Roseville MI 48066-4467 | |
| (586) 775-4260 | |
| Not Available |
| Full Name | Kelly Road Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25810 Kelly Rd Ste 2, Roseville, Michigan |
| Authorized Official Name and Position | Wassim El Awadi (OWNER) |
| Authorized Official Contact | 7343770264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Road Dentistry Pllc 460 N Franklin St Dearborn MI 48128-1573 Ph: (734) 377-0264 | Kelly Road Dentistry Pllc 25810 Kelly Rd Ste 2 Roseville MI 48066-4467 Ph: (586) 775-4260 |
| NPI Number | 1558254433 |
|---|---|
| Provider Enumeration Date | 05/30/2025 |
| Last Update Date | 06/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558254433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Carl Papa D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21055 E 12 Mile Rd, Roseville, MI 48066 Phone: 586-772-0100 Fax: 586-772-3128 | |
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