| NPI | 1063544476 |
|---|---|
| Doing Business As | KELLER FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | REBECCA J LAUCK Owner 817-337-0223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |