| R. L. Keller Dds & Daniel F. Burk Dds | |
|
3107 Lone Tree Way Suite A Antioch CA 94509-4980 | |
| (925) 757-5081 | |
| (925) 757-4979 |
| Full Name | R. L. Keller Dds & Daniel F. Burk Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3107 Lone Tree Way, Antioch, California |
| Authorized Official Name and Position | Kenda Sappington (OFFICE MANAGER) |
| Authorized Official Contact | 9257575081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. L. Keller Dds & Daniel F. Burk Dds 3107 Lone Tree Way Suite A Antioch CA 94509-4980 Ph: (925) 757-5081 | R. L. Keller Dds & Daniel F. Burk Dds 3107 Lone Tree Way Suite A Antioch CA 94509-4980 Ph: (925) 757-5081 |
| NPI Number | 1174906887 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174906887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0516788 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 29021 (California) | Secondary |
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