C MARK KEEN DDS NPI 1215130448

NPI Information

C Mark Keen, DDS is a general practice dentist in Alta Loma, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. C Mark Keen, DDS NPI is 1215130448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9606 BASELINE RD
ALTA LOMA, CA
ZIP 91701
Phone: (909) 989-6661
Fax: (909) 989-6663

The enumeration date for this NPI number is 6/6/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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