| Advanced Family Dental | |
|
1540 Keller Pkwy Suite 140 Keller TX 76248-3686 | |
| (817) 337-0072 | |
| (817) 337-0073 |
| Full Name | Advanced Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 1540 Keller Pkwy, Keller, Texas |
| Authorized Official Name and Position | Phu H Le (PRESIDENT) |
| Authorized Official Contact | 8173370072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Dental 1540 Keller Pkwy Suite 140 Keller TX 76248-3686 Ph: (817) 337-0072 | Advanced Family Dental 1540 Keller Pkwy Suite 140 Keller TX 76248-3686 Ph: (817) 337-0072 |
| NPI Number | 1457512287 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457512287 | NPI | - | NPPES |
| 009339502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17656 (Texas) | Primary |
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