Individual
ANDREA EILEEN KEEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
21134 N 98TH LN, PEORIA, AZ 85382-5391
(602) 607-8537
Mailing address
21134 N 98TH LN, PEORIA, AZ 85382-5391
(602) 607-8537
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H010199
ARIZONA BOARD OF DENTAL EXAMINERS
AZ
Enumeration date
07/14/2025
Last updated
07/14/2025
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