Individual
MRS. CHARMAINE ELIZABETH KEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2721 RUSTIC BRICK RD, RALEIGH, NC 27603-9642
(919) 329-0472
(919) 772-0537
Mailing address
2721 RUSTIC BRICK RD, RALEIGH, NC 27603-9642
(919) 329-0472
(919) 772-0537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC 6954
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7902249
—
NC
Enumeration date
11/19/2007
Last updated
02/10/2016
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