Organization
MARCY L. KEOWN, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY KEOWN DMD (PRESIDENT)
(352) 281-9101
Entity
Organization
Contact information
Practice address
1549 S ALAFAYA TRL STE 200, ORLANDO, FL 32828-8962
(407) 482-1405
Mailing address
1549 S ALAFAYA TRL STE 200, ORLANDO, FL 32828-8962
(407) 482-1405
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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