Individual
MARY S KEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6441 IRONBRIDGE ROAD, RICHMOND, VA 23234
(804) 743-8166
(804) 743-4818
Mailing address
1612 HUGUENOT ROAD, MIDLOTHIAN, VA 23113
(804) 794-9789
(804) 794-9762
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401007816
VA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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