Individual
DR. JOHN J KEATING IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3821 W PUEBLO BLVD, PUEBLO, CO 81005-2713
(719) 564-6467
Mailing address
3821 W PUEBLO BLVD, PUEBLO, CO 81005-2713
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
22DI02497500
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00203355
CO
Other
Enumeration date
05/03/2012
Last updated
03/17/2018
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