Individual
MR. CHRIS KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16600 SW 52ND PL, SW RANCHES, FL 33331-1340
(954) 298-5582
Mailing address
16600 SW 52ND PL, SW RANCHES, FL 33331-1340
(954) 298-5582
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22387
FL
1223G0001X
General Practice Dentistry
DN22387
FL
Other
Enumeration date
04/14/2016
Last updated
03/16/2018
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