Individual
DR. DENNIS MICHAEL KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
236 ERNSTON RD, SUITE 6, PARLIN, NJ 08859-1926
(732) 525-0049
(732) 525-0089
Mailing address
38 MERCURY CIR, SOUTH AMBOY, NJ 08879-2413
(732) 721-6420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI00985902
NJ
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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