Organization
KELLER TOWN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE R CARPENTER (PRACTICE MANAGER)
(817) 680-9985
Entity
Organization
Contact information
Practice address
121 RUFE SNOW DR STE 111, KELLER, TX 76248-2111
(817) 337-7941
Mailing address
121 RUFE SNOW DR STE 111, KELLER, TX 76248-2111
(817) 337-7941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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