Mary Kelly, PH.D

NPI 1235348509 · on the registry since 2007 · sole proprietor

Practice

Address: 380 Glenneyre St Ste D
Laguna Beach, CA 92651
Phone: (949) 494-0093
Fax: (949) 497-0913
Organisation at this address: Kalmanovich Dental Corp
Alexander Kalmanovich Dds, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California