Individual
DR. PAUL ELLIOTT KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1934 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 533-0722
(574) 534-2333
Mailing address
1934 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 533-0722
(574) 534-2333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007622A
IN
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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