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Individual

DR. ROBERT GERALD KEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
USC SCHOOL OF DENTISTRY DEPARTMENT OF, 925 WEST 34TH STREET, SUITE 312, LOS ANGELES, CA 90089-0001
(213) 740-0410
Mailing address
1851 MACGREGOR DOWNS RD, MAIL STOP 701, GREENVILLE, NC 27834-5925
(252) 737-7023

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0183
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1412
NM
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
SP 189
CA

Other

Enumeration date
04/27/2009
Last updated
12/13/2016
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