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Individual

DR. JOHN CHARLES KEENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
12745 W CAPITOL DR, #203, BROOKFIELD, WI 53005
(262) 781-6222
(262) 781-6235
Mailing address
330 E BEAUMONT AVE, #106, WHITEFISH BAY, WI 53217-4802
(414) 967-0999

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000317
WI

Other

Enumeration date
07/07/2006
Last updated
07/08/2007
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