| Keller Periodontics | |
|
1902 Common St Ste 100 New Braunfels TX 78130-3156 | |
| (830) 629-5055 | |
| (830) 629-2528 |
| Full Name | Keller Periodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1902 Common St, New Braunfels, Texas |
| Authorized Official Name and Position | Todd Alan Keller (OWNER/PRESIDENT) |
| Authorized Official Contact | 8306295055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keller Periodontics 1902 Common St Ste 100 New Braunfels TX 78130-3156 Ph: (830) 629-5055 | Keller Periodontics 1902 Common St Ste 100 New Braunfels TX 78130-3156 Ph: (830) 629-5055 |
| NPI Number | 1144222472 |
|---|---|
| Provider Enumeration Date | 05/31/2005 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144222472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20271 (Texas) | Primary |
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