Organization · Type 2 NPI

Keller Group, Inc.

Dental Laboratory · Fenton, MO

NPI number 1295087443 Active

Practice location

160 Larkin Williams Ind Ct
Fenton, MO 63026-2409

Fax (636) 600-4396

Specialties and licenses

Taxonomy	Code	License
Dental Laboratory Primary	292200000X	None listed

Dental Laboratory: A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.

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NPI record

NPI: 1295087443
Entity type: Organization (Type 2)
Issued: Oct 12, 2012
Last updated: Oct 12, 2012
Status: Active
Subpart: Yes of GDC Holdings, Inc.

Other names

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Keller Laboratories, Inc. · doing business as

Authorized official

Mr. Mike Schantz, CPA
CFO of GDC Holdings
(561) 537-8305

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About NPI 1295087443

Keller Group, Inc.'s National Provider Identifier is 1295087443, issued on Oct 12, 2012. The primary taxonomy on file is Dental Laboratory (292200000X), and the practice location is in Fenton, MO. The record was last updated on Oct 12, 2012.