Individual
DR. KEITH WAYNE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
325 CEDAR ST., WILTON, IA 52778-0007
(563) 732-2612
(563) 732-2066
Mailing address
325 CEDAR ST., WILTON, IA 52778-0007
(563) 732-2612
(563) 732-2066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IA6220
IA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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