| Kelly Family Orthodontics | |
|
30 Meadowrue Dr Glastonbury CT 06033-4357 | |
| (207) 333-2685 | |
| Not Available |
| Full Name | Kelly Family Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 30 Meadowrue Dr, Glastonbury, Connecticut |
| Authorized Official Name and Position | Gillian R Kelly (ORTHODONTIST) |
| Authorized Official Contact | 2073332685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Family Orthodontics 30 Meadowrue Dr Glastonbury CT 06033-4357 Ph: (207) 333-2685 | Kelly Family Orthodontics 30 Meadowrue Dr Glastonbury CT 06033-4357 Ph: (207) 333-2685 |
| NPI Number | 1871917179 |
|---|---|
| Provider Enumeration Date | 02/07/2014 |
| Last Update Date | 02/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871917179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 10949 (Connecticut) | Primary |
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