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Organization

CENTER FOR TMJ AND OROFACIAL DISORDERS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JILL ELIZABETH KEATON DMD (SOLE MEMBER)
(606) 437-7609
Entity
Organization

Contact information

Practice address
384 N MAYO TRL, UNIT B, PIKEVILLE, KY 41501-1493
(606) 437-7609
Mailing address
PO BOX 989, PIKEVILLE, KY 41502-0989

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6470
KY

Other

Enumeration date
11/20/2013
Last updated
10/13/2015
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