PHANITH D KEO

SARASOTA, FL
NPI1285828491
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN 18543)
Additional Taxonomies122300000X Dentist
(Licence: MA  21983)
Enumeration Date2007-08-30
Last Update Date2013-06-27
Business Address
Dr. PHANITH D KEO DMD
7317 N TAMIAMI TRL
SARASOTA, FL 34243-1402
Phone number: 941-306-5884
Mailing Address
Dr. PHANITH D KEO DMD
7317 N TAMIAMI TRL
SARASOTA, FL 34243-1402
Phone number: 941-306-5884
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