Organization
DR MATTHEW K KEIDER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW K KEIDER DDS (DENTIST)
(336) 768-0480
Entity
Organization
Contact information
Practice address
3610 WESTGATE CENTER CIR, WINSTON SALEM, NC 27103-2935
(336) 768-0480
(336) 760-5525
Mailing address
3610 WESTGATE CENTER CIR, WINSTON SALEM, NC 27103-2935
(336) 768-0480
(336) 760-5525
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6236
NC
Other
Enumeration date
01/09/2006
Last updated
03/22/2012
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