| Keller Crossing Dentistry PLLC | |
|
11751 Alta Vista Rd Ste 403 Fort Worth TX 76244-6441 | |
| (682) 593-3198 | |
| Not Available |
| Full Name | Keller Crossing Dentistry PLLC |
|---|---|
| Speciality | Dentist |
| Location | 11751 Alta Vista Rd Ste 403, Fort Worth, Texas |
| Authorized Official Name and Position | Chiyuan Chen (OWNER) |
| Authorized Official Contact | 6825933198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keller Crossing Dentistry PLLC 11751 Alta Vista Rd Ste 403 Fort Worth TX 76244-6441 Ph: (682) 593-3198 | Keller Crossing Dentistry PLLC 11751 Alta Vista Rd Ste 403 Fort Worth TX 76244-6441 Ph: (682) 593-3198 |
| NPI Number | 1699583476 |
|---|---|
| Provider Enumeration Date | 12/25/2024 |
| Last Update Date | 01/05/2025 |
| Certification Date | 01/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699583476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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