Pamela J. Keller, Dmd, P.a.

NPI 1215272646 - Dentist - 1223G0001X

NPI Details
NPI 1215272646
Enumeration Date 12/12/2012
Last Updated 12/12/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name PAMELA JO PAMELA
Position PRESIDENT
Phone (386) 698-1138
Fax (386) 698-1183
Practice Location
301 N SUMMIT ST
CRESCENT CITY FL, 32112-2333, US
Phone (386) 698-1138
Fax (386) 698-1183
Business Location
301 N SUMMIT ST
CRESCENT CITY FL, 32112-2333, US
Phone (386) 698-1138
Fax (386) 698-1183
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN 10773
Remove 1215272646 NPI Number
 

According to our database, Pamela J. Keller, Dmd, P.a. NPI is 1215272646, taxonomy code is 1223G0001X and license number is DN 10773, license state is located at Florida. Pamela J. Keller, Dmd, P.a. physically located at 301 N Summit St, Crescent City FL, 32112-2333. NPI Number 1033115704 has the healthcare provider type.

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1215272646 NPI number is provided on an as is basis without warranty of any kind. 1215272646 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela J. Keller, Dmd, P.a. are for informational purposes only.