Samuel Robert Kelly
Samuel Robert Kelly is a General Practice Dentistry in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2018.
- Licensed in
- OR
- In the registry since
- 2018
Practice location Address checks out
3380 Astoria Way NESalem, OR 97305-1667
Phone: (971) 600-0211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D10822 (OR) |
|---|
Record details
| NPI number | 1174018022 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 23, 2018 |
| Last updated in NPPES | June 23, 2018 |
| Mailing address | 3380 Astoria Way Ne, Salem, OR 97305-1667 |
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