Individual
HEATHER KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
821 WESTWOOD DR, SEDALIA, MO 65301-2102
(660) 826-4774
(660) 826-1300
Mailing address
821 WESTWOOD DR, SEDALIA, MO 65301-2102
(660) 826-4774
(660) 826-1300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014017360
MO
Other
Enumeration date
06/12/2014
Last updated
09/02/2015
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