Individual
DR. VANESSA NICOLE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
165 N MERAMEC AVE, SUITE 420, CLAYTON, MO 63105-3772
(314) 725-4343
(314) 725-3950
Mailing address
5781 BIRCHMONT PLACE DR, SAINT LOUIS, MO 63129-2987
(314) 401-1857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2002015015
MO
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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