Keller Smiles LLC
Clinic/Center, Dental in Keller, TX. Organization (NPI-2).
NPI number1104478635
StatusActive
Last updated in NPPESJul 15, 2019
Details
- NPI
- 1104478635
- Entity type
- Organization (NPI-2)
- Legal business name
- Keller Smiles LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2019
- Last updated
- Jul 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
1540 Keller Pkwy Ste 140Keller, TX 76248-3685
Phone 682-593-0993 · Fax 682-593-0995
Mailing address
Po Box 4400Salem, OR 97302-8400
Authorized official
Jesus Alvarado
Office Manager
6825930993
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All 9 Dental Clinic/Center providers in Keller · All 1,355 providers in Keller
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