Mansour, Kelly Connaughton

Mansour, Kelly Connaughton is an individual health care provider with primary practice located at 1650 N Maitland Ave , Maitland FL 32751-3320. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / General Practice. Dental Providers / Pediatric Dentistry is her primary health care specialty. Mansour, Kelly Connaughton can be contacted via phone (407) 628-2286.

Contact Information

Primary practice address
1650 N Maitland Ave Maitland FL 32751-3320
Phone: (407) 628-2286
Fax: (407) 629-2953
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN18377 Florida
Dental Providers / General Practice 1223G0001X DN 18377 Florida

Profile Details

NPI number 1558524041
LBN Legal business name Mansour, Kelly Connaughton
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2008
Last updated Oct 4th, 2023 - about 2 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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