Individual
DR. KEITH W DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
160 S BELLWOOD DR, SUITE B, EAST ALTON, IL 62024-2086
(618) 258-1300
Mailing address
160 S BELLWOOD DR, SUITE B, EAST ALTON, IL 62024-2086
(618) 258-1300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0190175448
IL
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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