Individual
CANDACE CAMPBELL KEESEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
353 E GRAND AVE, CHICAGO, IL 60611-5389
(312) 846-6752
Mailing address
3716 N ASHLAND AVE #401, CHICAGO, IL 60613-3602
(717) 825-1983
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034369
IL
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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