Individual
CHARLES KEEFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
191 ALBANY TPKE, CANTON, CT 06019-2511
(860) 693-0887
(860) 693-1079
Mailing address
191 ALBANY TPKE, CANTON, CT 06019-2511
(860) 693-0887
(860) 693-1079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5137
CT
1223G0001X
General Practice Dentistry
5137
CT
Other
Enumeration date
05/03/2007
Last updated
10/25/2013
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