Individual
KELLI DIANE CREEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11831 CULEBRA RD STE 101, SAN ANTONIO, TX 78253-4578
(210) 625-5353
Mailing address
11138 HUEBNER OAKS APT 403, SAN ANTONIO, TX 78230-1279
(409) 673-0156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37335
TX
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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