Individual
KEITH GEORGE SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2755 S 99TH AVE STE 105, TOLLESON, AZ 85353-1404
(623) 478-1624
Mailing address
8503 N 110TH AVE, PEORIA, AZ 85345-3477
(602) 400-9895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012285
AZ
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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