Individual
DR. CHARLES ANTHONY KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
919 MARYLAND AVE E, SAINT PAUL, MN 55106-2618
(651) 776-8355
Mailing address
919 MARYLAND AVE E, SAINT PAUL, MN 55106-2618
(651) 776-8355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8352
MN
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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