Organization
TODD A KELLER, DDS, PA
Active
Other names
Keller Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD ALAN KELLER DDS, MS (OWNER/PRESIDENT)
(830) 629-5055
Entity
Organization
Contact information
Practice address
1902 COMMON ST, STE 100, NEW BRAUNFELS, TX 78130-3156
(830) 629-5055
(830) 629-2528
Mailing address
1902 COMMON ST, STE 100, NEW BRAUNFELS, TX 78130-3156
(830) 629-5055
(830) 629-2528
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20271
TX
Other
Enumeration date
05/31/2005
Last updated
09/04/2007
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