| Marie Petters Kelly | |
|
1670 Lincoln Hwy E Lancaster PA 17602-2663 | |
| (717) 394-1067 | |
| Not Available |
| Full Name | Marie Petters Kelly |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1670 Lincoln Hwy E, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Daniel Kelly (GM) |
| Authorized Official Contact | 7179254327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Petters Kelly 1670 Lincoln Hwy E Lancaster PA 17602-2663 Ph: (717) 394-1067 | Marie Petters Kelly 1670 Lincoln Hwy E Lancaster PA 17602-2663 Ph: (717) 394-1067 |
| NPI Number | 1114417045 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 05/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114417045 | NPI | - | NPPES |
| DS040000 | Other | PA | DENTAL LICENSE |
| DS035577 | Other | PA | DENTAL LICENSE |
| DS025788L | Other | PA | DENTAL LICENSE |
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