794 Keller Parkway Keller Services Pllc

NPI #1891268421 in Keller, Texas

Provider Information

NPI Number
1891268421
Entity Type
Organization
Organization Name
794 Keller Parkway Keller Services Pllc
Primary Specialty
Dentist
Enumeration Date
Jan 7, 2019
Last Updated
Jan 7, 2019

Practice Location

Address
794 KELLER PKWY
City
Keller
State
Texas
ZIP Code
76248-2488
Phone
(817) 431-1596

Authorized Official

Name
PETER C GRUMBOS, DDS
Title
OWNER
Phone
(817) 431-1596

Specialties & Taxonomy Codes

Specialty
Dentist

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