Abc123 Dental In Keller PLLC
Dentist, General Practice in Keller, TX. Organization (NPI-2).
NPI number1104243898
StatusActive
Last updated in NPPESMar 20, 2014
Details
- NPI
- 1104243898
- Entity type
- Organization (NPI-2)
- Legal business name
- Abc123 Dental In Keller PLLC
- Organization subpart
- No
- Enumeration date
- Mar 20, 2014
- Last updated
- Mar 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 24637 | TX | Yes |
Other names
- Abc123 Dental (Doing Business As)
Practice location
460 Keller Pkwy Ste EKeller, TX 76248-2370
Phone 817-656-1215 · Fax 877-230-8349
Mailing address
460 Keller Pkwy Ste EKeller, TX 76248-2370
Phone 817-656-1215 · Fax 877-230-8349
Authorized official
Peter Vo
Owner
8176561215
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