Keller Modern Dentistry and Orthodontics, PC
NPI #1992103295 in Fort Worth, Texas
Provider Information
- NPI Number
- 1992103295
- Entity Type
- Organization
- Organization Name
- Keller Modern Dentistry and Orthodontics, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 18, 2014
- Last Updated
- Dec 18, 2014
Practice Location
- Address
- 5701 N. TARRANT PKWY
- Address 2
- SUITE 101
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76137
- Phone
- (817) 534-6455
Authorized Official
- Name
- KERRY RAGBIR, D.D.S.
- Title
- OWNER
- Phone
- (817) 534-6455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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