Organization
MADISON FAMILY DENTAL PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY LARRY KEYES DDS (OWNER/DDS)
(605) 256-2670
Entity
Organization
Contact information
Practice address
502 NE 2ND ST, MADISON, SD 57042
(605) 256-2670
(605) 256-3172
Mailing address
502 NE 2ND ST, MADISON, SD 57042
(605) 256-2670
(605) 256-3172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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