Individual
DR. MARCY LYNN KEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1549 S ALAFAYA TRL, SUITE 200, ORLANDO, FL 32828-8962
(407) 482-1405
(407) 482-1408
Mailing address
1549 S ALAFAYA TRL, SUITE 200, ORLANDO, FL 32828-8962
(407) 482-1405
(407) 482-1408
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN17921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001356800
—
FL
Enumeration date
05/02/2007
Last updated
12/21/2009
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