Individual
DR. MICHAEL L KEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2585 23RD AVE S, SUITE B, FARGO, ND 58103-6172
(701) 293-0006
(701) 293-7724
Mailing address
2585 23RD AVE S, SUITE B, FARGO, ND 58103-6172
(701) 293-0006
(701) 293-7724
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1784
ND
Other
Enumeration date
03/28/2007
Last updated
05/07/2013
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