C Mark Keen, DDS
NPI #1215130448 in Alta Loma, California
Provider Information
- NPI Number
- 1215130448
- Entity Type
- Individual
- Name
- C Mark Keen, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9606 BASELINE RD
- City
- Alta Loma
- State
- California
- ZIP Code
- 91701
- Phone
- (909) 989-6661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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