Individual
TRACY BETH KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, EFDA
Contact information
Practice address
420 SUPERIOR ST, SANDUSKY, OH 44870-1849
(419) 626-5623
(419) 626-8778
Mailing address
420 SUPERIOR ST, SANDUSKY, OH 44870-1849
(419) 626-5623
(419) 626-8778
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31008390
OH
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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