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Organization
KEENE FAMILY DENTAL, PA
Active
Organization
KEENE FAMILY DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAIVAN KEVIN AFKAMI DDS (OWNER)
(817) 577-9200
Entity
Organization
Contact information
Practice address
428 S OLD BETSY RD, STE. C, KEENE, TX 76059-1411
(817) 641-0000
(817) 556-6291
Mailing address
1801 PRECINCT LINE RD, STE. A, HURST, TX 76054-3170
(817) 577-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20467
TX
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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