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1720151400
MATTHEW KELLY KEIDER
WINSTON SALEM, NC
NPI
1720151400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NC 6236)
Enumeration Date
2006-11-17
Last Update Date
2012-03-22
Business Address
DR. MATTHEW KELLY KEIDER
3610 WESTGATE CENTER CIR
WINSTON SALEM, NC 27103-2935
Phone number: 336-768-0480
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Mailing Address
DR. MATTHEW KELLY KEIDER
3610 WESTGATE CENTER CIR
WINSTON SALEM, NC 27103-2935
Phone number: 336-768-0480
Copy
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