Individual
KSHITIJ KAPOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12300 S SHORE BLVD STE 208, WELLINGTON, FL 33414-6509
(561) 204-4494
Mailing address
12300 S SHORE BLVD STE 208, WELLINGTON, FL 33414-6509
(561) 204-4494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20032
FL
Other
Enumeration date
07/16/2010
Last updated
01/07/2021
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