Individual
MR. KEITH D MOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
506 WEST BOULEVARD, RAPID CITY, SD 57701-2642
(605) 348-5311
Mailing address
506 WEST BOULEVARD, RAPID CITY, SD 57701-2642
(605) 348-5311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M374
SD
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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