Sheboygan Oral and Maxillofacial Assoc Ltd
NPI #1306894134 in Sheboygan, Wisconsin
Provider Information
- NPI Number
- 1306894134
- Entity Type
- Organization
- Organization Name
- Sheboygan Oral and Maxillofacial Assoc Ltd
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- May 4, 2006
- Last Updated
- Jan 21, 2009
Practice Location
Authorized Official
- Name
- DR. JOHN JAY KELLER, DDS
- Title
- PRESIDENT
- Phone
- (920) 458-8213
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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