DR. M Bert Keel JR., D.M.D.

NPI #1578655767 in Bay St Louis, Mississippi

Provider Information

NPI Number: 1578655767
Entity Type: Individual
Name: DR. M Bert Keel JR., D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Sep 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 304 N 2ND ST
City: Bay St Louis
State: Mississippi
ZIP Code: 39520-4538
Phone: (228) 467-5577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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