Keilman Dental Clinic Pc | |
421 W 9th St The Dalles OR 97058-1401 | |
(541) 296-1118 | |
Not Available |
Full Name | Keilman Dental Clinic Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 421 W 9th St, The Dalles, Oregon |
Authorized Official Name and Position | Mark N Keilman (PRESIDENT) |
Authorized Official Contact | 5412961118 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Keilman Dental Clinic Pc 421 W 9th St The Dalles OR 97058-1401 Ph: (541) 296-1118 | Keilman Dental Clinic Pc 421 W 9th St The Dalles OR 97058-1401 Ph: (541) 296-1118 |
NPI Number | 1902841331 |
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Provider Enumeration Date | 06/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902841331 | NPI | - | NPPES |
102673 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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