# KIP ORAL & MAXILLOFACIAL SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770498248
- **Authorized official:** DR. KENDRA IRIZARRY PAGAN DMD (OWNER)
- **Authorized official phone:** (917) 705-2383

## Contact information

- **Practice address:** 27 CALLE DR NELSON PEREA STE 205, MAYAGUEZ, PR 00680-4970
- **Practice address phone:** (917) 705-2383
- **Mailing address:** 27 CALLE DR NELSON PEREA STE 205, MAYAGUEZ, PR 00680-4970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2026
- **Last updated:** 08/18/2026