Organization · Type 2 NPI

Vande Matram Periodontology, PA

Periodontics · Keller, TX

NPI number 1225213176 Active

Practice location

1674 Keller Pkwy, # 160
Keller, TX 76248-3751

Fax (817) 741-3333

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X19155 (TX)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

6 other providers at this address

About NPI 1225213176

Vande Matram Periodontology, PA's National Provider Identifier is 1225213176, issued on Jan 9, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Keller, TX. The record was last updated on Jan 9, 2008.