Pediatric Dentistry of Keller Pllc

NPI #1750934253 in Keller, Texas

Provider Information

NPI Number
1750934253
Entity Type
Organization
Organization Name
Pediatric Dentistry of Keller Pllc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jul 23, 2019
Last Updated
Jul 23, 2019

Practice Location

Address
1627 KELLER PARKWAY
Address 2
SUITE 100
City
Keller
State
Texas
ZIP Code
76248
Phone
(480) 207-9709

Authorized Official

Name
JACOB JOHNSON, DDS
Title
MEMBER
Phone
(480) 207-9709

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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