Individual
KEITH D JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4041 CERRILLOS RD, SANTA FE, NM 87507-2916
(505) 438-3276
(505) 474-8201
Mailing address
4041 CERRILLOS RD, SANTA FE, NM 87507-2916
(505) 438-3276
(505) 474-8201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1408
NM
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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