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Organization

KEITH RUTER LLC DBA RIVERSIDE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH R RUTER DDS (OWNER)
(815) 938-2566
Entity
Organization

Contact information

Practice address
401 MAIN ST, SAVANNA, IL 61074-1535
(815) 273-2212
(815) 273-1081
Mailing address
401 MAIN ST, SAVANNA, IL 61074-1535
(815) 273-2212
(815) 273-1081

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019019570
IL

Other

Enumeration date
05/15/2012
Last updated
10/29/2013
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