Abc123 Dental in Keller Pllc

NPI #1578988945 in Keller, Texas

Provider Information

NPI Number
1578988945
Entity Type
Organization
Organization Name
Abc123 Dental in Keller Pllc
Primary Specialty
Preferred Provider Organization
Enumeration Date
Feb 21, 2014
Last Updated
Feb 21, 2014

Practice Location

Address
460 KELLER PKWY STE E
City
Keller
State
Texas
ZIP Code
76248-2370
Phone
(817) 496-2343

Authorized Official

Name
MISS ANGELA FLORES
Title
OFFICE MANAGER
Phone
(817) 496-2343

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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