Individual
DR. KEELEN TYMKIW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
UNIVERSITY OF IOWA, COLLEGE OF DENTISTRY, PERIODONTICS, S450 DSB, IOWA CITY, IA 52242
(319) 335-7238
Mailing address
2206 HOLIDAY RD, CORALVILLE, IA 52241-2743
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30200
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30200
IOWA BOARD OF DENTAL EXAM
IA
Enumeration date
06/20/2007
Last updated
03/07/2023
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