Keller Parkway Family Dental, PLLC
Clinic/Center, Dental in Keller, TX. Organization (NPI-2).
NPI number1336799162
StatusActive
Last updated in NPPESMar 18, 2022
Details
- NPI
- 1336799162
- Entity type
- Organization (NPI-2)
- Legal business name
- Keller Parkway Family Dental, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2019
- Certification date
- Mar 18, 2022
- Last updated
- Mar 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
359 Keller PkwyKeller, TX 76248-2206
Phone 817-431-6995
Mailing address
1804 Paddington CtArlington, TX 76017-7925
Authorized official
Priyaben G Patel
Manager
6787352602
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