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Organization
KELLER MODERN DENTISTRY AND ORTHODONTICS, PC
Active
Organization
KELLER MODERN DENTISTRY AND ORTHODONTICS, PC
Active
Other names
Keller Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY RAGBIR D.D.S. (OWNER)
(817) 534-6455
Entity
Organization
Contact information
Practice address
5701 N. TARRANT PKWY, SUITE 101, FORT WORTH, TX 76137
(817) 534-6455
(817) 534-6499
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8900
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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