Individual
TAYLOR KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4015 HURST DR, WATERLOO, IA 50701-9035
(319) 224-0847
Mailing address
4015 HURST DR, WATERLOO, IA 50701-9035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
09643
IA
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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