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Organization
YERITZA JAQUEZ DDS PLLC
Active
Organization
YERITZA JAQUEZ DDS PLLC
Active
Other names
Kians Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YERITZA JAQUEZ GOMEZ DDS (OWNER/DENTIST)
(786) 505-7821
Entity
Organization
Contact information
Practice address
575 AVENUE K SE, WINTER HAVEN, FL 33880-4215
(863) 875-4395
Mailing address
10823 SW 62ND TER, MIAMI, FL 33173-1260
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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