Individual
MARK EDWARD KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1310 E DIMOND BLVD STE 3, ANCHORAGE, AK 99515-2031
(907) 336-7337
Mailing address
1310 E DIMOND BLVD STE 3, ANCHORAGE, AK 99515-2031
(907) 336-7337
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
151
AK
1223P0221X
Pediatric Dentistry
D11690
MN
Other
Enumeration date
09/05/2007
Last updated
07/17/2008
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