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Organization
CARLA M. KEENE, D.D.S.
Active
Organization
CARLA M. KEENE, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA MARIE KEENE D.D.S. (DENTAL PRACTITIONER)
(276) 676-0070
Entity
Organization
Contact information
Practice address
15189 PORTERFIELD HIGHWAY, ABINGDON, VA 24211
(276) 676-0070
(276) 676-0880
Mailing address
PO BOX 287, ABINGDON, VA 24212-0287
(276) 676-0070
(276) 676-0880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007589
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1461995
UNITED CONCORDIA
VA
01
—
178416
ANTHEM
VA
05
—
9178537
—
VA
Enumeration date
03/18/2008
Last updated
10/15/2008
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