Organization
EASTERN NIAGARA DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A KELLER DDS (PARTNER/OWNER)
(716) 433-6111
Entity
Organization
Contact information
Practice address
57 DAVISON CT, STE D, LOCKPORT, NY 14094-5370
(716) 433-6111
(716) 433-6029
Mailing address
57 DAVISON CT, STE D, LOCKPORT, NY 14094-5370
(716) 433-6111
(716) 433-6029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
09/18/2009
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