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Individual

DR. DANIEL JAMES KEITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
4401 COLEMAN ST, SUITE 105, BISMARCK, ND 58503-1370
(701) 471-5671
Mailing address
3906 DOWNING ST, BISMARCK, ND 58504-8857
(701) 471-5671

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2082
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40839
ND
Enumeration date
03/07/2013
Last updated
08/24/2016
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