Karl A Keller Dds Pc

NPI 1023178985 - Dentist - 122300000X

NPI Details
NPI 1023178985
Enumeration Date 12/11/2006
Last Updated 03/23/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KARL A KARL
Position PRESIDENT
Phone (815) 468-6800
Fax (815) 468-7780
Practice Location
312 W DIVISION ST
MANTENO IL, 60950, US
Phone (815) 468-6800
Fax (815) 468-7780
Business Location
312 W DIVISION ST
MANTENO IL, 60950, US
Phone (815) 468-6800
Fax (815) 468-7780
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019017215
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According to our database, Karl A Keller Dds Pc NPI is 1023178985, taxonomy code is 122300000X and license number is 019017215, license state is located at Illinois. Karl A Keller Dds Pc physically located at 312 W Division St, Manteno IL, 60950. NPI Number 1033115704 has the healthcare provider type.

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1023178985 NPI number is provided on an as is basis without warranty of any kind. 1023178985 is maintained by the National Plan & Provider Enumeration System. The contents of Karl A Keller Dds Pc are for informational purposes only.