Provider Demographics
NPI:1477606721
Name:KEER, PUNEETA
Entity Type:Individual
Prefix:
First Name:PUNEETA
Middle Name:
Last Name:KEER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MAYO RD
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-1805
Mailing Address - Country:US
Mailing Address - Phone:410-956-6626
Mailing Address - Fax:410-956-6636
Practice Address - Street 1:55 MAYO RD
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-1805
Practice Address - Country:US
Practice Address - Phone:410-956-6626
Practice Address - Fax:410-956-6636
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD132641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice