# KELLER COSMETICS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DR MISTY J BROWN
- **Other names:** Dr Misty J Brown
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669810685
- **Legal business name:** DR MISTY J BROWN
- **Authorized official:** DR. MISTY JAYE BROWN DDS (DENTIST)
- **Authorized official phone:** (817) 431-6995

## Contact information

- **Practice address:** 359 KELLER PKWY, KELLER, TX 76248-2206
- **Practice address phone:** (817) 431-6995
- **Practice address fax:** (817) 431-8813
- **Mailing address:** 359 KELLER PKWY, KELLER, TX 76248-2206
- **Mailing address phone:** (817) 431-6995
- **Mailing address fax:** (817) 431-8813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 18158 | TX | Yes |

## Other

- **Enumeration date:** 06/12/2013
- **Last updated:** 08/31/2016