Individual
KEITH E. WESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8191 MOORS BRIDGE RD, PORTAGE, MI 49024-7416
(269) 327-1119
(269) 327-5725
Mailing address
8191 MOORS BRIDGE RD, PORTAGE, MI 49024-7416
(269) 327-1119
(269) 327-5725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15368
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
666305
UNITED CONCORDIA
MI
01
—
D15368
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/16/2007
Last updated
07/08/2007
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