Organization
KELLER SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS ALVARADO (OFFICE MANAGER)
(682) 593-0993
Entity
Organization
Contact information
Practice address
1540 KELLER PKWY STE 140, KELLER, TX 76248-3685
(682) 593-0993
(682) 593-0995
Mailing address
PO BOX 4400, SALEM, OR 97302-8400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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