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Organization
KEITH A COLWELL DDS PC
Active
Organization
KEITH A COLWELL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ALLAN COLWELL DDS (OWNER)
(515) 285-4759
Entity
Organization
Contact information
Practice address
6057 SE 14TH ST, DES MOINES, IA 50320
(515) 285-4759
(515) 287-2948
Mailing address
6057 SE 14TH ST, DES MOINES, IA 50320
(515) 285-4759
(515) 287-2948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5559
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114098340
—
IA
05
—
7005942
—
IA
Enumeration date
10/26/2007
Last updated
07/17/2008
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