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Individual

DR. KEEGAN BAKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
411 LAFOLLETTE STA S, FLOYDS KNOBS, IN 47119-9780
(812) 923-8871
(812) 923-8872
Mailing address
411 LAFOLLETTE STA S, FLOYDS KNOBS, IN 47119-9780
(812) 923-8871
(812) 923-8872

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012133A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/13/2014
Last updated
06/18/2014
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