Individual
DR. KEITH R. RUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
208 N WALNUT AVE, FORRESTON, IL 61030-9330
(815) 938-2575
(815) 938-2363
Mailing address
510 S 5TH AVE, FORRESTON, IL 61030-9532
(815) 938-2502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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