Organization
JOHN J KELLER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J KELLER DDS (PRESIDENT)
(763) 421-4550
Entity
Organization
Contact information
Practice address
552 E MAIN ST, ANOKA, MN 55303-2529
(763) 421-4550
(763) 421-5428
Mailing address
552 E MAIN ST, ANOKA, MN 55303-2529
(763) 421-4550
(763) 421-5428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10034
MN
Other
Enumeration date
03/08/2007
Last updated
11/11/2008
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