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KELSEY PERIODONTAL GROUP, LLC

Dental Care Facilities

Omaha, Nebraska

Provider NPI: 1831423177

Organization Information:
Organization Name:  KELSEY PERIODONTAL GROUP, LLC
Organization is not Subpart
Authorized Official:  WILLIAM PATRICK KELSEY  OWNER  402-9344745

Practice Location:
17785 MASON ST SUITE 103 OMAHA, NE 68118 US
Tel: 402-934-4745  Fax: 402-934-4760

Business Mailing Address:
17785 MASON ST SUITE 103 OMAHA, NE 68118 US
Tel: 402-934-4745  Fax: 402-934-4760

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QD0000XAmbulatory Health Care Facilities
Clinic/Center
Dental
NE6632





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