| NPI | 1992103295 |
|---|---|
| Doing Business As | KELLER MODERN DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KERRY RAGBIR Owner 817-534-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |