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Organization
S.KEITH MAHAN DDS,PA
Active
Organization
S.KEITH MAHAN DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY MAHAN RDH (OFFICE MANAGER)
(407) 841-7241
Entity
Organization
Contact information
Practice address
1224 SLIGH BLVD, ORLANDO, FL 32806-1108
(407) 841-7241
(407) 849-6252
Mailing address
1224 SLIGH BLVD, ORLANDO, FL 32806-1108
(407) 841-7241
(407) 849-6252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9879
FL
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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