| Keller Pediatric Dentistry | |
|
1858 Keller Pkwy Suite 100 Keller TX 76248-3757 | |
| (817) 431-6008 | |
| (817) 337-0098 |
| Full Name | Keller Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1858 Keller Pkwy, Keller, Texas |
| Authorized Official Name and Position | Daniel E Donohue (DENTIST) |
| Authorized Official Contact | 8174316008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keller Pediatric Dentistry 1858 Keller Pkwy Suite 100 Keller TX 76248-3757 Ph: (817) 431-6008 | Keller Pediatric Dentistry 1858 Keller Pkwy Suite 100 Keller TX 76248-3757 Ph: (817) 431-6008 |
| NPI Number | 1043471311 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043471311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 14921 (Texas) | Primary |
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