| Kizito Dennis Od Llc | |
|
1512 Nw 208th St, Miami Gardens, FL 33169-2247 | |
| (518) 334-0477 | |
| Not Available |
| Full Name | Kizito Dennis Od Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1512 Nw 208th St, Miami Gardens, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700633831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kizito Dennis Od Llc 1512 Nw 208th St, Miami Gardens, FL 33169-2247 Ph: () - | Kizito Dennis Od Llc 1512 Nw 208th St, Miami Gardens, FL 33169-2247 Ph: (518) 334-0477 |
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