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1154597110
KEITH YOUNG
LAKELAND, FL
NPI
1154597110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL dn15083)
Enumeration Date
2008-04-30
Last Update Date
2008-04-30
Business Address
Dr. KEITH YOUNG D.D.S.
5381 N SOCRUM LOOP RD
LAKELAND, FL 33809-4272
Phone number: 863-815-3313
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Mailing Address
Dr. KEITH YOUNG D.D.S.
5381 N SOCRUM LOOP RD
LAKELAND, FL 33809-4272
Phone number: 863-815-3313
Copy
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