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1487756250
KELLY WAYNE KEITH
AUSTIN, TX
NPI
1487756250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 14077)
Enumeration Date
2006-09-02
Last Update Date
2007-07-08
Business Address
Dr. KELLY WAYNE KEITH DDS
3800 SPEEDWAY
AUSTIN, TX 78751
Phone number: 512-452-6405
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Mailing Address
Dr. KELLY WAYNE KEITH DDS
4201 NORTH HILLS DR
AUSTIN, TX 78731
Phone number: 512-342-9697
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