Organization
DR. DOUGLAS A. KELLER,D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ALAN KELLER D.M.D. (GENERAL DENTIST)
(631) 669-0027
Entity
Organization
Contact information
Practice address
420 W MAIN ST, BABYLON, NY 11702-3008
(631) 669-0027
(631) 669-0054
Mailing address
420 W MAIN ST, BABYLON, NY 11702-3008
(631) 669-0027
(631) 669-0054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035664
NY
Other
Enumeration date
03/16/2007
Last updated
04/18/2013
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