Organization
ACORN DENTAL OF KELLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE N SCHROEDER DDS,MS (OWNER)
(817) 514-6253
Entity
Organization
Contact information
Practice address
5334 N TARRANT PKWY, FORT WORTH, TX 76244-6293
(817) 514-6253
(817) 514-6230
Mailing address
5334 N TARRANT PKWY, FORT WORTH, TX 76244-6293
(817) 514-6253
(817) 514-6230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9091
TX
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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