DR. Mark Thomas Keydel, DDS

NPI #1417099920 in Burlington, Vermont

Provider Information

NPI Number: 1417099920
Entity Type: Individual
Name: DR. Mark Thomas Keydel, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 52 COLCHESTER AVE
City: Burlington
State: Vermont
ZIP Code: 05401
Phone: (802) 864-0353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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