Individual
DR. KEITH CLARENCE WINTERNHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
610 NORTH COURT, GRAYVILLE, IL 62844-1002
(618) 375-6341
Mailing address
610 NORTH COURT, GRAYVILLE, IL 62844-1002
(618) 375-6341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019024049
IL
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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