Individual
DR. JOHN B KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1701 CLEARWATER AVE, SUITE B, BLOOMINGTON, IL 61704-6433
(309) 662-7949
(309) 664-6177
Mailing address
1701 CLEARWATER AVE, SUITE B, BLOOMINGTON, IL 61704-6433
(309) 662-7949
(309) 664-6177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019022829
IL
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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