DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GWENDOLYN KELLY DDS & ASSOC.

Active Organization

GWENDOLYN KELLY DDS & ASSOC. is a Dentist organization located in LOS ANGELES, California. NPI 1558772723 is currently active in the NPPES registry. Verify at CMS.

Dentist · LOS ANGELES, CA

Registration Details

NPI Number
1558772723
Provider Type
Organization
NPI Issued
May 9, 2014 (12.257189522623 yrs)
Last Updated
May 9, 2014
Licenses
45472 (CA)
20070 (CA)
29936 (CA)

Practice Information

Address
6230 W MANCHESTER AVE
LOS ANGELES, CA, 900453801
Browse CA providers · Browse ZIP 90045
Phone
3104129291
Primary Specialty
Dentist
122300000X
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Dentist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.