Organization
KARL A KELLER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL A KELLER DDS (PRESIDENT)
(815) 468-6800
Entity
Organization
Contact information
Practice address
312 W DIVISION ST, MANTENO, IL 60950
(815) 468-6800
(815) 468-7780
Mailing address
312 W DIVISION ST, MANTENO, IL 60950
(815) 468-6800
(815) 468-7780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019017215
IL
Other
Enumeration date
12/11/2006
Last updated
03/23/2012
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