Individual
DR. BEAU J KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
909 112TH AVE NE, SUITE P-104, BELLEVUE, WA 98004-8580
(425) 409-9999
(888) 507-5181
Mailing address
909 112TH AVE NE, SUITE P-104, BELLEVUE, WA 98004-8580
(425) 409-9999
(888) 507-5181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D009161
AZ
122300000X
Dentist
Primary
DE00011082
WA
Other
Enumeration date
08/13/2007
Last updated
05/06/2015
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