Organization
DUONGVANNAK KEO, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUONGVANNAK JB KEO D.M.D. C.A.G.S. (DENTIST)
(321) 452-6000
Entity
Organization
Contact information
Practice address
295 S. PLUMOSA, MERRITT ISLAND, FL 32952
(321) 452-6000
(321) 453-8823
Mailing address
295 S. PLUMOSA, MERRITT ISLAND, FL 32952
(321) 452-6000
(321) 453-8823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 13955
FL
122300000X
Dentist
DN 19124
FL
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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