Individual
DR. DUONGVANNAK J KEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
295 S PLUMOSA, MERRITT ISLAND, FL 32952-4886
(321) 452-6000
(321) 453-8823
Mailing address
295 S PLUMOSA ST, MERRITT ISLAND, FL 32952-3525
(321) 452-6000
(321) 453-8823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13955
FL
Other
Enumeration date
11/03/2006
Last updated
03/09/2010
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