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DR. RICHARD M KELOWITZ D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1184834384

Individual Registrant:
DR. RICHARD M KELOWITZ D.D.S.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2165 NW 147TH ST  NEWBERRY, FL 32669-2043 US
Tel: 610-417-4130  Fax: --

Contact information for business:
HEALTH SCIENCE CTR COLLEGE OF DENTISTRY GAINESVILLE, FL 32610-0412 US
Tel: 610-691-6200  Fax: 610-691-1840

Registration Information:
NPI: 1184834384
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
PADS020304L
N122300000XDental Providers
Dentist
FLDN8554

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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