| NPI | 1144222472 |
|---|---|
| Doing Business As | KELLER PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | TODD ALAN KELLER Owner/President 830-629-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 20271) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-09-04 |