KEITH J DOUBLEDAY

HARTFORD, WI
NPI1093891749
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  2316)
Enumeration Date2006-10-27
Last Update Date2007-07-09
Business Address
-- KEITH J DOUBLEDAY D.D.S.
6856 LEE RD.
HARTFORD, WI 53027
Phone number: 262-673-7611
Mailing Address
-- KEITH J DOUBLEDAY D.D.S.
PO BOX 270197
HARTFORD, WI 53027-0197
Phone number: 262-673-7611
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