Organization
KEITH R. KYLER, D.D.S., L.L.C.
Active
Organization
KEITH R. KYLER, D.D.S., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH RAY KYLER D.D.S. (PRESIDENT)
(225) 292-8010
Entity
Organization
Contact information
Practice address
11964 COURSEY BLVD, BATON ROUGE, LA 70816-4405
(225) 292-8010
(225) 291-6341
Mailing address
11964 COURSEY BLVD, BATON ROUGE, LA 70816-4405
(225) 292-8010
(225) 291-6341
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4362
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1843628
—
LA
Enumeration date
01/26/2009
Last updated
01/26/2009
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