| NPI | 1891268421 |
|---|---|
| Doing Business As | KELLER FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | PETER C GRUMBOS Owner 817-431-1596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |