Provider Demographics
NPI:1215196357
Name:ARNOLD R KEILES DMD INC
Entity Type:Organization
Organization Name:ARNOLD R KEILES DMD INC
Other - Org Name:PALO ALTO DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:KEILES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:650-327-7525
Mailing Address - Street 1:853 MIDDLEFIELD ROAD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2919
Mailing Address - Country:US
Mailing Address - Phone:650-327-7525
Mailing Address - Fax:650-322-9639
Practice Address - Street 1:853 MIDDLEFIELD ROAD
Practice Address - Street 2:SUITE 7
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2919
Practice Address - Country:US
Practice Address - Phone:650-327-7525
Practice Address - Fax:650-322-9639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20211122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty