Keith J Doubleday, D.D.S.

NPI #1093891749 in Hartford, Wisconsin

Provider Information

NPI Number
1093891749
Entity Type
Individual
Name
Keith J Doubleday, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 27, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
6856 LEE RD.
ZIP Code
53027
Phone
(262) 673-7611

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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