| Kiss Orthodontics | |
|
11445 Sw 40th St Miami FL 33165-3311 | |
| (786) 443-0442 | |
| Not Available |
| Full Name | Kiss Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11445 Sw 40th St, Miami, Florida |
| Authorized Official Name and Position | Christian Ellis Dejesus (OWNER/MANAGER) |
| Authorized Official Contact | 3057264048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiss Orthodontics 11445 Sw 40th St Miami FL 33165-3311 Ph: (786) 443-0442 | Kiss Orthodontics 11445 Sw 40th St Miami FL 33165-3311 Ph: (786) 443-0442 |
| NPI Number | 1932538493 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 11/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932538493 | NPI | - | NPPES |
| 1821308073 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN18028 (Florida) | Primary |
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