Brent Cornelius, DDS
Dentist, General Practice in Keller, TX. Individual provider (NPI-1).
NPI number1720249402
StatusActive
Last updated in NPPESJun 24, 2008
Details
- NPI
- 1720249402
- Entity type
- Individual (NPI-1)
- Name
- Brent Cornelius
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2008
- Last updated
- Jun 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 19334 | TX | Yes |
Practice location
1674 Keller PkwySte 180
Keller, TX 76248-3751
Phone 817-431-4200
Mailing address
1674 Keller PkwySte 180
Keller, TX 76248-3751
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All 54 General Practice Dentistry providers in Keller · All 1,355 providers in Keller
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