Individual
DR. TOM D KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1443 ENCINITAS BLVD, ENCINITAS, CA 92024-2931
(760) 635-3478
(760) 635-9384
Mailing address
1443 ENCINITAS BLVD, ENCINITAS, CA 92024-2931
(760) 635-3478
(760) 635-9384
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
44713
CA
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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