| Kimberly A. Dettori, D.d.s., M.s., P.a. | |
|
903 Se Ocean Blvd Suite 1 Stuart FL 34994-2475 | |
| (772) 221-3700 | |
| (772) 221-9107 |
| Full Name | Kimberly A. Dettori, D.d.s., M.s., P.a. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 903 Se Ocean Blvd, Stuart, Florida |
| Authorized Official Name and Position | Kimberly A Dettori (DENTIST/OWNER) |
| Authorized Official Contact | 7722213700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly A. Dettori, D.d.s., M.s., P.a. 903 Se Ocean Blvd Suite 1 Stuart FL 34994-2475 Ph: (772) 221-3700 | Kimberly A. Dettori, D.d.s., M.s., P.a. 903 Se Ocean Blvd Suite 1 Stuart FL 34994-2475 Ph: (772) 221-3700 |
| NPI Number | 1821024522 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 03/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821024522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN12143 (Florida) | Primary |
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