| Keller Smiles LLC | |
|
1540 Keller Pkwy Ste 140 Keller TX 76248-3685 | |
| (682) 593-0993 | |
| (682) 593-0995 |
| Full Name | Keller Smiles LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1540 Keller Pkwy Ste 140, Keller, Texas |
| Authorized Official Name and Position | Jesus Alvarado (OFFICE MANAGER) |
| Authorized Official Contact | 6825930993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keller Smiles LLC Po Box 4400 Salem OR 97302-8400 | Keller Smiles LLC 1540 Keller Pkwy Ste 140 Keller TX 76248-3685 Ph: (682) 593-0993 |
| NPI Number | 1104478635 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104478635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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