Organization
ALEX KEITH, DMD, DENTAL CORPORATION
Active
Other names
One Loose Tooth, Dental practice of Dr. Alex Keith
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX KEITH DMD (OWNER)
(510) 912-0923
Entity
Organization
Contact information
Practice address
4330 GOLDEN CENTER DR STE A, PLACERVILLE, CA 95667-6232
(530) 642-8614
(530) 642-9314
Mailing address
4330 GOLDEN CENTER DR STE A, PLACERVILLE, CA 95667-6232
(530) 642-8614
(530) 642-9314
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
100100
CA
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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