Organization
B CLAY KEITH DDS PA
Active
Other names
The Center for Implant and General Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARON CLAY KEITH DDS (OWNER PRESIDENT)
(903) 882-6141
Entity
Organization
Contact information
Practice address
410 EAGLE SPIRIT DRIVE, LINDALE, TX 75771
(903) 882-6141
(903) 882-3558
Mailing address
410 EAGLE SPIRIT DRIVE, LINDALE, TX 75771
(903) 882-6141
(903) 882-3558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20688
TX
Other
Enumeration date
01/16/2007
Last updated
04/24/2008
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