DR. Thomas Clark Keller SR., D.D.S.

NPI #1194832279 in Towson, Maryland

Provider Information

NPI Number: 1194832279
Entity Type: Individual
Name: DR. Thomas Clark Keller SR., D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 21 WEST RD
Address 2: 104
City: Towson
State: Maryland
ZIP Code: 21204-2325
Phone: (410) 828-1177

Specialties & Taxonomy Codes

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

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