Individual
DR. THOMAS JOHN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2417 MCGUIRE BLVD, MC GUIRE AFB, NJ 08641-5118
(609) 754-3786
Mailing address
200 FOREST AVE, MEDFORD, NJ 08055-3451
(856) 797-4395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37402
NY
Other
Enumeration date
12/23/2005
Last updated
07/08/2007
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