# YERITZA JAQUEZ DDS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Kians Dental Studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619800695
- **Authorized official:** DR. YERITZA JAQUEZ GOMEZ DDS (OWNER/DENTIST)
- **Authorized official phone:** (786) 505-7821

## Contact information

- **Practice address:** 575 AVENUE K SE, WINTER HAVEN, FL 33880-4215
- **Practice address phone:** (863) 875-4395
- **Mailing address:** 10823 SW 62ND TER, MIAMI, FL 33173-1260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2026
- **Last updated:** 06/08/2026