Individual
DR. DOUGLAS M KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
312 W DIVISION ST, MANTENO, IL 60950-1010
(815) 468-6800
Mailing address
312 W DIVISION ST, MANTENO, IL 60950-1010
(815) 468-6800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031689
IL
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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