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Organization
WEST KELLER DENTAL
Active
Organization
WEST KELLER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRAG S PATEL DDS (VICE PRESIDENT)
(817) 431-5953
Entity
Organization
Contact information
Practice address
4532 GOLDEN TRIANGLE BLVD, FORT WORTH, TX 76244-6316
(817) 431-5953
(817) 431-5913
Mailing address
4532 GOLDEN TRIANGLE BLVD, FORT WORTH, TX 76244-6316
(817) 431-5953
(817) 431-5913
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24211
TX
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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