Organization
KEESLER ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY THOMAS KEESLER DDS, MS, MS (PRESIDENT)
(920) 729-0889
Entity
Organization
Contact information
Practice address
1524 S COMMERCIAL ST, NEENAH, WI 54956-4802
(920) 729-0889
Mailing address
1524 S COMMERCIAL ST, NEENAH, WI 54956-4802
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
WI 4174-015
WI
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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