Blaine Keister DMD

NPI 1083876031 - Dentist - 1223G0001X

NPI Details
NPI 1083876031
Gender Male
Enumeration Date 07/01/2008
Last Updated 12/08/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
146 ROUTE 34
HOLMDEL NJ, 07733-2407, US
Phone (732) 946-4244
Fax (732) 946-4492
Business Location
146 ROUTE 34
HOLMDEL NJ, 07733-2407, US
Phone (732) 946-4244
Fax (732) 946-4492
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number DI02586000
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According to our database, Blaine Keister DMD NPI is 1083876031, taxonomy code is 1223G0001X and license number is DI02586000, license state is located at New Jersey. Blaine Keister DMD physically located at 146 Route 34, Holmdel NJ, 07733-2407. NPI Number Blaine Keister DMD has the Individual type.

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1083876031 NPI number is provided on an as is basis without warranty of any kind. 1083876031 is maintained by the National Plan & Provider Enumeration System. The contents of Blaine Keister DMD are for informational purposes only.