DR. Corwin Jay Keltner, DDS, PPA

NPI #1083604599 in Ogden, Utah

Provider Information

NPI Number: 1083604599
Entity Type: Individual
Name: DR. Corwin Jay Keltner, DDS, PPA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS, PPA
Enumeration Date: Oct 26, 2005
Last Updated: Dec 11, 2022

Practice Location

Address: 5974 FASHION POINT DR STE 210
City: Ogden
State: Utah
ZIP Code: 84403-4842
Phone: (801) 475-6121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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