Joshua Chad Kelly, DMD Valid NPI

Individual provider · General Practice Dentistry · Severance, CO

NPI

1225413461

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DEN.00202592 (CO)

Sex

Male

Sole proprietor

Yes

Enumerated

2015-07-29

Last updated

2018-07-03