Organization
BRIAN J KELLER DDS & TRACIE E KELLER DDS PROF LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE E KELLER DDS (OWNER)
(719) 528-8822
Entity
Organization
Contact information
Practice address
6760 CORPORATE DRIVE, SUITE 270, COLORADO SPRINGS, CO 80919
(719) 528-8822
(719) 593-9855
Mailing address
6760 CORPORATE DRIVE, SUITE 270, COLORADO SPRINGS, CO 80919
(719) 528-8822
(719) 593-9855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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