Keo, Duongvannak J
Keo, Duongvannak J is an sole proprietor health care provider with primary practice located at 295 S Plumosa , Merritt Island FL 32952-4886. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Keo, Duongvannak J can be contacted via phone (321) 452-6000.Contact Information
Primary practice address
295 S Plumosa
Merritt Island FL 32952-4886
Phone: (321) 452-6000
Fax: (321) 453-8823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13955 | Florida |
Profile Details
| NPI number | 1861571556 |
|---|---|
| LBN Legal business name | Keo, Duongvannak J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Mar 9th, 2010 - about 15 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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