Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 401413167 | VA |
N | 122300000X | Dentist | 8605 | KY |
Y | 1223P0221X | Pediatric Dentist | 25240 | TX |
NPI | 1073772687 |
---|---|
Provider Name | Dr. David L Keeton |
First Address | San Antonio, TX 78249-2984 |
Second Address | San Antonio, TX 78249-2984 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 12/05/2020 |