Organization
KEITH ANDERSON ORTHODONTICS PLLC
Active
Other names
Anderson Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ANDERSON DDS (MANAGING MEMBER)
(801) 310-1871
Entity
Organization
Contact information
Practice address
310 NW JOHN JONES DR, SUITE 108, BURLESON, TX 76028
(817) 989-6000
(817) 484-6025
Mailing address
416 GLENN CT, BURLESON, TX 76028-8678
(801) 310-1871
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
33776
TX
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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