Keezel, Mary Lois

Keezel, Mary Lois is an individual health care provider with primary practice located at 1023 Atlantic Blvd , Atlantic Beach FL 32233-3313. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Keezel, Mary Lois can be contacted via phone (904) 249-3104.

Contact Information

Primary practice address
1023 Atlantic Blvd Atlantic Beach FL 32233-3313
Phone: (904) 249-3104
Fax: (904) 249-3109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN25313 Florida

Profile Details

NPI number 1396343000
LBN Legal business name Keezel, Mary Lois
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2020
Last updated Oct 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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