Keller Town Dental

NPI #1447620133 in Keller, Texas

Provider Information

NPI Number: 1447620133
Entity Type: Organization
Organization Name: Keller Town Dental
Primary Specialty: Dentist
Enumeration Date: Oct 7, 2015
Last Updated: Oct 7, 2015

Practice Location

Address: 121 RUFE SNOW DR STE 111
City: Keller
State: Texas
ZIP Code: 76248-2111
Phone: (817) 337-7941

Authorized Official

Name: MRS. MELANIE R CARPENTER
Title: PRACTICE MANAGER
Phone: (817) 680-9985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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