Keller Smiles Llc | |
1540 Keller Pkwy Ste 140 Keller TX 76248-3685 | |
(682) 593-0993 | |
(682) 593-0995 |
Full Name | Keller Smiles Llc |
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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 |
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Keller Smiles Llc Po Box 4400 Salem OR 97302-8400 Ph: () - | Keller Smiles Llc 1540 Keller Pkwy Ste 140 Keller TX 76248-3685 Ph: (682) 593-0993 |
NPI Number | 1104478635 |
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Provider Enumeration Date | 07/15/2019 |
Last Update Date | 07/15/2019 |
Identifier | Type | State | Issuer |
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1104478635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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