Heath Joseph Ketteler Valid NPI
Individual provider · Dentist · David City, NE
- NPI
- 1780368134
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 7920 (NV)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-06-14
- Last updated
- 2024-10-18
Practice location
1877 N 4th St
David City, NE 68632-2209
(402) 954-4033