Individual
KRISTINA CHRISTOPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
7480 FAIRWAY DR STE 103, MIAMI LAKES, FL 33014-6879
(305) 557-4381
Mailing address
7480 FAIRWAY DR STE 103, MIAMI LAKES, FL 33014-6879
(305) 557-4381
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
20420
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20420
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
29255
TX
Other
Enumeration date
05/12/2014
Last updated
04/16/2020
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