Individual
KELSEY MARIE GWIN MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
849 GREENWAY PROFESSIONAL CT, ORLANDO, FL 32824-9482
(407) 905-8827
(407) 905-8998
Mailing address
849 GREENWAY PROFESSIONAL CT, ORLANDO, FL 32824-9482
(407) 905-8827
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN26405
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/13/2021
Last updated
01/13/2026
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