DR. Keith Michael Gressell, DMD

NPI #1518031053 in Apo Ae, New York

Provider Information

NPI Number: 1518031053
Entity Type: Individual
Name: DR. Keith Michael Gressell, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: CMR 402
Address 2: LANDSTUHL DENTAL ACTIVITY CREDENTIALS OFFICE
City: Apo Ae
State: New York
ZIP Code: 09227
Phone: (631) 350-7524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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