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Organization

KERA DENTAL CLINICS

Active
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Organization

KERA DENTAL CLINICS

Active
Other names
South Lamar Smiles
Organization subpart
No

Provider details

NPI number
Authorized official
KESHAVI PATEL DDS (DENTIST)
(732) 770-2996
Entity
Organization

Contact information

Practice address
2708 S LAMAR BLVD # 100A, AUSTIN, TX 78704-3964
(732) 770-2996
Mailing address
7900 ASPEN HIGHLANDS DR, AUSTIN, TX 78746-4962
(732) 770-2996

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
31345
TX

Other

Enumeration date
08/24/2018
Last updated
08/24/2018
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