Individual
DR. BRUCE J KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
45-950 KAMEHAMEHA HWY, KANEOHE, HI 96744-3205
(808) 247-4291
Mailing address
45-950 KAMEHAMEHA HWY, KANEOHE, HI 96744-3205
(808) 247-4291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1369
HI
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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