| NPI | 1003437245 |
|---|---|
| Doing Business As | KEIZER STATION DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN SHAWN BARTON Executive Director, Revenue Cycle 800-813-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2022-06-23 |