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Individual

DR. KEITH FLETCHER ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
9225 MANCHESTER RD, SUITE 202, SAINT LOUIS, MO 63144-2640
(314) 961-5866
(314) 918-0165
Mailing address
9225 MANCHESTER RD, SUITE 202, SAINT LOUIS, MO 63144-2640
(314) 961-5866
(314) 918-0165

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014386
MO

Other

Enumeration date
12/11/2006
Last updated
07/18/2011
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