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Organization

CARLA M. KEENE, D.D.S.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLA MARIE KEENE D.D.S. (DENTAL PRACTITIONER)
(276) 676-0070
Entity
Organization

Contact information

Practice address
15189 PORTERFIELD HIGHWAY, ABINGDON, VA 24211
(276) 676-0070
(276) 676-0880
Mailing address
PO BOX 287, ABINGDON, VA 24212-0287
(276) 676-0070
(276) 676-0880

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007589
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1461995
UNITED CONCORDIA
VA
01
178416
ANTHEM
VA
05
9178537
VA
Enumeration date
03/18/2008
Last updated
10/15/2008
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