Keesler Orthodontics | |
1524 S Commercial St Neenah WI 54956-4802 | |
(920) 729-0889 | |
Not Available |
Full Name | Keesler Orthodontics |
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Speciality | Clinic/center - Dental |
Location | 1524 S Commercial St, Neenah, Wisconsin |
Authorized Official Name and Position | Jeffrey Thomas Keesler (PRESIDENT) |
Authorized Official Contact | 9207290889 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Keesler Orthodontics 1524 S Commercial St Neenah WI 54956-4802 Ph: () - | Keesler Orthodontics 1524 S Commercial St Neenah WI 54956-4802 Ph: (920) 729-0889 |
NPI Number | 1679758262 |
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Provider Enumeration Date | 01/02/2008 |
Last Update Date | 01/02/2008 |
Identifier | Type | State | Issuer |
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1679758262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | WI 4174-015 (Wisconsin) | Primary |
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