| Kissimmee Family Dentistry, Pllc | |
|
1111 Person St Kissimmee FL 34741-4146 | |
| (407) 870-7404 | |
| (407) 870-9960 |
| Full Name | Kissimmee Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1111 Person St, Kissimmee, Florida |
| Authorized Official Name and Position | Patrick J Mokris (OWNER) |
| Authorized Official Contact | 4078707404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kissimmee Family Dentistry, Pllc 1111 Person St Kissimmee FL 34741-4146 Ph: (407) 870-7404 | Kissimmee Family Dentistry, Pllc 1111 Person St Kissimmee FL 34741-4146 Ph: (407) 870-7404 |
| NPI Number | 1407257561 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407257561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 18060 (Florida) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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