Keller Dentistry Llc | |
1431 Keller Pkwy Ste 300 Keller TX 76248-3860 | |
(817) 752-9828 | |
(817) 752-9829 |
Full Name | Keller Dentistry Llc |
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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 |
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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 |
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Provider Enumeration Date | 03/12/2019 |
Last Update Date | 06/11/2019 |
Identifier | Type | State | Issuer |
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1720546401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Abc123 Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Keller Pkwy Ste E, Keller, TX 76248 Phone: 817-656-1215 Fax: 877-230-8349 | |
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