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Organization
KIMBERLY A. DETTORI, D.D.S., M.S., P.A.
Active
Organization
KIMBERLY A. DETTORI, D.D.S., M.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY A DETTORI D.D.S., M.S. (DENTIST/OWNER)
(772) 221-3700
Entity
Organization
Contact information
Practice address
903 SE OCEAN BLVD, SUITE 1, STUART, FL 34994-2475
(772) 221-3700
(772) 221-9107
Mailing address
903 SE OCEAN BLVD, SUITE 1, STUART, FL 34994-2475
(772) 221-3700
(772) 221-9107
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN12143
FL
Other
Enumeration date
06/24/2006
Last updated
03/18/2016
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