| Keller Dentistry Llc | |
|
1431 Keller Pkwy Ste 300 Keller TX 76248-3860 | |
| (817) 752-9828 | |
| (817) 752-9829 |
| Full Name | Keller Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1431 Keller Pkwy Ste 300, Keller, Texas |
| Authorized Official Name and Position | Allen Charles (OWNER) |
| Authorized Official Contact | 8177529828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keller Dentistry Llc 1431 Keller Pkwy Ste 300 Keller TX 76248-3860 Ph: (817) 752-9828 | Keller Dentistry Llc 1431 Keller Pkwy Ste 300 Keller TX 76248-3860 Ph: (817) 752-9828 |
| NPI Number | 1720546401 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720546401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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