Individual
DR. DOUGLAS K KELLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
312 DURHAM, BASTROP, LA 71220-4502
(318) 281-3365
(318) 281-4281
Mailing address
312 DURHAM, BASTROP, LA 71220-4502
(318) 281-3365
(318) 281-4281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5034
LA
Other
Enumeration date
05/29/2007
Last updated
11/16/2016
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