Organization
MATTHEW A KEIM DDS PC
Active
Other names
Green Country Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW A KEIM DDS (PRESIDENT/OWNER)
(918) 542-1631
Entity
Organization
Contact information
Practice address
124 N MAIN ST, MIAMI, OK 74354-6325
(918) 542-1631
(918) 540-9141
Mailing address
124 N MAIN ST, MIAMI, OK 74354-6325
(918) 542-1631
(918) 540-9141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5697
OK
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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