| Mydentist-keller | |
|
1901 S Main St Keller TX 76248-5120 | |
| (817) 337-1658 | |
| Not Available |
| Full Name | Mydentist-keller |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1901 S Main St, Keller, Texas |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mydentist-keller 1901 S Main St Keller TX 76248-5120 Ph: () - | Mydentist-keller 1901 S Main St Keller TX 76248-5120 Ph: (817) 337-1658 |
| NPI Number | 1265852842 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 04/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265852842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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