SHAWN KELLY DDS INC NPI 1912441064

NPI Information

SHAWN KELLY DDS INC is a customized equipment durable medical equipment medical supplies in Roseville, CA. SHAWN KELLY DDS INC NPI is 1912441064. The provider is registered as an organization entity type.
The provider Other Name Is Roseville Dental Group Sleep Solutions.

The provider's business location address is:

700 SUNRISE AVE
SUITE E
ROSEVILLE, CA
ZIP 95661-561
Phone: (916) 773-1122
Fax: (916) 773-3528

The provider's authorized official is Randall Shawn Kelly .
The authorized official title is Owner and has the following contact phone number (916) 773-1122.

The enumeration date for this NPI number is 12/8/2016 and was last updated on 4/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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