Individual
COURTNEY KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1445 MAIN ST, EAST WILTON, WILTON, ME 04234
(207) 645-9522
Mailing address
9 SAMS RD, MINOT, ME 04258-5035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN5256
ME
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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