# KEITH H. KANER, DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KEITH H. KANER, DDS, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093283582
- **Legal business name:** KEITH H. KANER, DDS, PA
- **Authorized official:** DR. KEITH HOWARD KANER DDS (PRESIDENT)
- **Authorized official phone:** (561) 487-4545

## Contact information

- **Practice address:** 9250 GLADES RD STE 207, BOCA RATON, FL 33434-3958
- **Practice address phone:** (561) 487-4545
- **Practice address fax:** (561) 487-9942
- **Mailing address:** 9250 GLADES RD STE 207, BOCA RATON, FL 33434-3958
- **Mailing address phone:** (561) 487-4545
- **Mailing address fax:** (561) 487-9942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2018
- **Last updated:** 11/02/2018