Duongvannak Keo, Dmd

NPI #1154614758 in Merritt Island, Florida

Provider Information

NPI Number: 1154614758
Entity Type: Organization
Organization Name: Duongvannak Keo, Dmd
Primary Specialty: Dentist
Enumeration Date: May 16, 2011
Last Updated: May 16, 2011

Practice Location

Address: 295 S. PLUMOSA
City: Merritt Island
State: Florida
ZIP Code: 32952
Phone: (321) 452-6000

Authorized Official

Name: DUONGVANNAK JB KEO, D.M.D. C.A.G.S.
Title: DENTIST
Phone: (321) 452-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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