Organization
DA VINCI DENTAL LLC
Active
Other names
KALM Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
BEAU J KELLER DMD (OWNER)
(425) 409-9999
Entity
Organization
Contact information
Practice address
7014 E CAMELBACK RD, SUITE 2145, SCOTTSDALE, AZ 85251-1227
(480) 500-9999
(888) 507-5181
Mailing address
909 112TH AVE NE, SUITE P-104, BELLEVUE, WA 98004-8580
(425) 409-9999
(888) 507-5181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D009161
AZ
122300000X
Dentist
Primary
DE00011082
WA
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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