Individual
MEGHAN KEELY OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
707 6TH AVE, ANTIGO, WI 54409
(715) 627-4391
(715) 627-4392
Mailing address
707 6TH AVE, ANTIGO, WI 54409
(715) 627-4391
(715) 627-4392
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5507015
WI
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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