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700 N Tarrant Pkwy Ste. 102 Keller TX 76248-5693 | |
| (817) 757-4225 | |
| (817) 520-5256 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 700 N Tarrant Pkwy, Keller, Texas |
| Authorized Official Name and Position | Scott Leune (OWNER) |
| Authorized Official Contact | 8177574225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
700 N Tarrant Pkwy Ste. 102 Keller TX 76248-5693 Ph: (817) 757-4225 | 700 N Tarrant Pkwy Ste. 102 Keller TX 76248-5693 Ph: (817) 757-4225 |
| NPI Number | 1265798318 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 04/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265798318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Texas) | Primary |
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