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Individual

KEATON SACRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
108 1ST ST W, WHITEHALL, MT 59759-7730
(406) 287-3026
Mailing address
9281 SILVER ARROW CT, LAS VEGAS, NV 89117-6413
(406) 498-2235

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC-26005
MT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/24/2023
Last updated
05/14/2025
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