Individual
DR. KEITH PACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
1502 N ZARAGOZA RD, SUITE B, EL PASO, TX 79936-7905
(915) 855-4442
Mailing address
8151 E INDIAN BEND RD, STE 111, SCOTTSDALE, AZ 85250-4826
(480) 607-9999
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
26180
TX
Other
Enumeration date
12/06/2010
Last updated
12/23/2015
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