Individual
DR. THOMAS CLARK KELLER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21 WEST RD, 104, TOWSON, MD 21204-2325
(410) 828-1177
(410) 828-1252
Mailing address
21 WEST RD, 104, TOWSON, MD 21204-2325
(410) 828-1177
(410) 828-1252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5771
MD
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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