Individual
DR. KEITH SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4340 W HILLSBOROUGH AVE STE 702, TAMPA, FL 33614-5560
(813) 445-3240
Mailing address
4340 W HILLSBOROUGH AVE STE 702, TAMPA, FL 33614-5560
(813) 722-1050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21658
FL
Other
Enumeration date
04/20/2015
Last updated
08/11/2021
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