| R. Kelly Dds, Inc. | |
|
951 N Tustin St Orange CA 92867-5902 | |
| (714) 532-3331 | |
| (714) 532-5886 |
| Full Name | R. Kelly Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 951 N Tustin St, Orange, California |
| Authorized Official Name and Position | Russell A. Kelly (OWNER) |
| Authorized Official Contact | 7145323331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Kelly Dds, Inc. 951 N Tustin St Orange CA 92867-5902 Ph: (714) 532-3331 | R. Kelly Dds, Inc. 951 N Tustin St Orange CA 92867-5902 Ph: (714) 532-3331 |
| NPI Number | 1013116656 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013116656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 43284 (California) | Primary |
David M Datu Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 E Lincoln Ave, Suite #201, Orange, CA 92865 Phone: 714-998-2241 Fax: 714-998-8124 | |
Vital Smiles Alabama Ii Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 S Main St, Orange, CA 92868 Phone: 714-480-3000 Fax: 714-571-6445 | |
Henry Nguyen Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2393 N Tustin St, A, Orange, CA 92865 Phone: 714-453-0215 Fax: 714-637-4457 | |
Brident Dental Associates Of New Mexico Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 S Main St, Orange, CA 92868 Phone: 714-480-3000 | |
Jay E. Bauman D.d.s., A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 E Chapman Ave Ste 102, Orange, CA 92866 Phone: 714-532-0888 Fax: 714-532-0066 | |
Richard M. Gates, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 E Lincoln Ave, Suite 115, Orange, CA 92865 Phone: 714-282-9131 Fax: 714-282-9134 |