Individual
BLAINE KEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
146 ROUTE 34, HOLMDEL, NJ 07733-2407
(732) 946-4244
(732) 946-4492
Mailing address
146 ROUTE 34, HOLMDEL, NJ 07733-2407
(732) 946-4244
(732) 946-4492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI02586000
NJ
Other
Enumeration date
07/01/2008
Last updated
12/08/2014
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