Individual
DR. KEITH ALLEN MEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
403 WEST BROADWAY AVENUE, MCLOUD, OK 74851
(405) 964-2500
(405) 964-2515
Mailing address
403 WEST BROADWAY AVENUE, MCLOUD, OK 74851
(405) 964-2500
(405) 964-2515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6201
OK
Other
Enumeration date
03/30/2010
Last updated
10/13/2014
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