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Organization
CENTER FOR TMJ AND OROFACIAL DISORDERS, PLLC
Active
Organization
CENTER FOR TMJ AND OROFACIAL DISORDERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL ELIZABETH KEATON DMD (SOLE MEMBER)
(606) 437-7609
Entity
Organization
Contact information
Practice address
384 N MAYO TRL, UNIT B, PIKEVILLE, KY 41501-1493
(606) 437-7609
Mailing address
PO BOX 989, PIKEVILLE, KY 41502-0989
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6470
KY
Other
Enumeration date
11/20/2013
Last updated
10/13/2015
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