Organization
CHARLES A KELLER DDS AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A KELLER DDS (PRESIDENT)
(651) 776-8355
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8352
MN
Other
Enumeration date
03/08/2008
Last updated
03/08/2008
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