KEUM PARK

LARGO, FL
NPI1649331505
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN15469)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
-- KEUM PARK
10500 ULMERTON RD SUITE 210
LARGO, FL 33771-3544
Phone number: 727-581-1900
Mailing Address
-- KEUM PARK
1770 N WICKHAM RD
MELBOURNE, FL 32935-8122
Phone number: