Individual
DR. WILLIAM BLAKE KEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
540 W LASALLE ST, SPRINGFIELD, MO 65807-4712
(417) 887-1220
(417) 887-0357
Mailing address
3124 W SEXTON ST, SPRINGFIELD, MO 65810-1297
(870) 421-6820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014015938
MO
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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