Individual
KRISTY KAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1700 NE 26TH ST STE 1, WILTON MANORS, FL 33305-1430
(954) 564-5540
Mailing address
106 S FEDERAL HWY APT 528, FORT LAUDERDALE, FL 33301-4328
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN25665
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2017
Last updated
05/06/2021
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