DR. John B Keller, D.D.S.

NPI #1912281965 in Bloomington, Illinois

Provider Information

NPI Number
1912281965
Entity Type
Individual
Name
DR. John B Keller, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 7, 2011
Last Updated
Oct 7, 2011

Practice Location

Address
1701 CLEARWATER AVE
Address 2
SUITE B
ZIP Code
61704-6433
Phone
(309) 662-7949

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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