NPI | 1720546401 |
---|---|
Doing Business As | THE DOK - DENTIST OF KELLER |
Entity Type | Organization |
Authorized Contact | ALLEN CHARLES Owner 817-752-9828 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-03-12 |
Last Update Date | 2019-06-11 |