Male or Other

Dr. Phanith D. Keo DMD

Dentist in Sarasota, FL(View on Map)

Full Name

Dr. Phanith D Keo DMD

NPI Number

1285828491

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/30/2007

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Florida
Massachusetts

License Number

DN 18543
21983

Contact
Information

Purpose

Mailing
Location

Address

7317 N TAMIAMI TRL
7317 N TAMIAMI TRL

City

Sarasota
Sarasota

State

FL
FL

Postal Code

34243-1402
34243-1402

Country

US
US

Telephone Number

(941) 306-5884
(941) 306-5884

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/27/2013

Provider Address

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