Individual
DR. GEORGE ALBERT KEANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 LEAD AVE SE, ALBUQUERQUE, NM 87106-5215
(505) 292-8533
(505) 292-2712
Mailing address
1100 LEAD AVE SE, ALBUQUERQUE, NM 87106-5215
(505) 797-5549
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2161
NM
Other
Enumeration date
10/10/2006
Last updated
07/21/2008
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