Organization
M. BERT KEEL JR DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M BERT KEEL JR. DMD (OWNER)
(228) 467-5577
Entity
Organization
Contact information
Practice address
304 N SECOND ST, BAY ST LOUIS, MS 39520-4538
(228) 467-5577
(228) 467-0468
Mailing address
304 N SECOND ST, BAY ST LOUIS, MS 39520-4538
(228) 467-5577
(228) 467-0468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
193381
MS
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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