Individual
DR. JEREMY MARC KEENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15 PARADISE AVE, WINNEMUCCA, NV 89445-2700
(775) 625-7763
(775) 623-9256
Mailing address
15 PARADISE AVE, WINNEMUCCA, NV 89445-2700
(775) 625-7763
(775) 623-9256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4797
NV
Other
Enumeration date
05/13/2010
Last updated
04/25/2011
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