Ren, Kelly

Ren, Kelly is an sole proprietor health care provider with primary practice located at 360 Hillsdale Mall , San Mateo CA 94403-3425. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / General Practice is her primary health care specialty. Ren, Kelly can be contacted via phone (650) 850-8502.

Contact Information

Primary practice address
360 Hillsdale Mall San Mateo CA 94403-3425
Phone: (650) 850-8502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DDS105551 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1518593649
LBN Legal business name Ren, Kelly
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2020
Last updated Aug 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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