Individual
KEITH TEMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
N112W16760 MEQUON RD, GERMANTOWN, WI 53022-5814
(126) 225-5782
Mailing address
N97W14984 BURNING BUSH CT, GERMANTOWN, WI 53022-6628
(126) 225-5713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3507
WI
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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