B Clay Keith DDS PA

NPI #1881745537 in Lindale, Texas

Provider Information

NPI Number: 1881745537
Entity Type: Organization
Organization Name: B Clay Keith DDS PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 16, 2007
Last Updated: Apr 24, 2008

Practice Location

Address: 410 EAGLE SPIRIT DRIVE
City: Lindale
State: Texas
ZIP Code: 75771
Phone: (903) 882-6141

Authorized Official

Name: DR. BARON CLAY KEITH, DDS
Title: OWNER PRESIDENT
Phone: (903) 882-6141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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