# A KEELER FAMILY DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710304399
- **Authorized official:** MS. ALEXANDRA KEELER D.D.S. (DENTIST)
- **Authorized official phone:** (307) 358-1720

## Contact information

- **Practice address:** 1010 E RICHARDS STREET, DOUGLAS, WY 82633
- **Practice address phone:** (307) 358-1720
- **Mailing address:** 1010 E RICHARDS STREET, DOUGLAS, WY 82633
- **Mailing address phone:** (307) 358-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1315 | WY | Yes |

## Other

- **Enumeration date:** 03/21/2014
- **Last updated:** 03/21/2014
