Organization
JAY KELTNER, D.D.D. P.A.
Active
Other names
Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANINE M BIERA (OFFICE MANAGER)
(620) 276-7681
Entity
Organization
Contact information
Practice address
1133 E KANSAS PLZ, GARDEN CITY, KS 67846-5870
(620) 276-7681
(620) 276-9203
Mailing address
1133 E KANSAS AVE, GARDEN CITY, KS 67846-5870
(620) 276-7681
(620) 276-9203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60068
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100392360B
—
KS
Enumeration date
07/11/2008
Last updated
07/11/2008
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