Individual
DR. DOUGLAS KENNETH KEIM,
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2233 HAMLINE AVE N, SUITE 210, ROSEVILLE, MN 55113-5009
(651) 631-2944
(651) 639-1439
Mailing address
2233 HAMLINE AVE N, SUITE 210, ROSEVILLE, MN 55113-5009
(651) 631-2944
(651) 639-1439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7212
MN
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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