Organization · Type 2 NPI
Keller Smiles LLC
Dental Clinic/Center · Keller, TX
NPI number
1104478635
Active
Practice location
1540 Keller Pkwy Ste 140
Keller, TX 76248-3685
Fax (682) 593-0995
Mailing address
PO Box 4400
Salem, OR 97302-8400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1104478635
Keller Smiles LLC's National Provider Identifier is 1104478635, issued on Jul 15, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Keller, TX. The record was last updated on Jul 15, 2019.