Individual
SHAWN MARTIN KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7530 164TH AVE NE, SUITE #A230, REDMOND, WA 98052-7812
(425) 558-1515
(425) 882-1040
Mailing address
7530 164TH AVE NE, SUITE #A230, REDMOND, WA 98052-7812
(425) 558-1515
(425) 882-1040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
90100
WA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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