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Organization
KELLER PARKWAY DENTAL PA
Active
Organization
KELLER PARKWAY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAIVAN AFKAMI DDS (OWNER)
(817) 431-6995
Entity
Organization
Contact information
Practice address
359 KELLER PKWY, KELLER, TX 76248-2206
(817) 431-6995
Mailing address
1801 PRECINCT LINE RD, HURST, TX 76054-3170
(817) 431-6995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20467
TX
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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