| NPI | 1659626448 |
|---|---|
| Doing Business As | GARY KEELER DDS, ORAL MAXILLOFACIAL SURGERY LLC |
| Entity Type | Organization |
| Authorized Contact | GARY KEELER Owner/Manager 601-936-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MS 347808) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2018-11-08 |