Organization
MARTHA ANN KEELS DDS, PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA ANN KEELS DDS PHD (PEDIATRIC DENTIST)
(919) 619-2056
Entity
Organization
Contact information
Practice address
2711 N DUKE ST, DURHAM, NC 27704-2619
(919) 220-1416
(919) 220-6936
Mailing address
2711 N DUKE ST, DURHAM, NC 27704-2619
(919) 220-1416
(919) 220-6936
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5288
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8994781
—
NC
Enumeration date
05/04/2015
Last updated
05/04/2015
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