Individual
KEEGAN JOSEPH WALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2625 WHEATON WAY STE D, BREMERTON, WA 98310-3372
(360) 373-2539
Mailing address
2625 WHEATON WAY STE D, BREMERTON, WA 98310-3372
(360) 373-2539
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
RR60670198
WA
1223G0001X
General Practice Dentistry
Primary
DE60769612
WA
Other
Enumeration date
05/23/2017
Last updated
07/21/2022
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