Individual
DR. KROUM DIMITROV DIMITROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1611 NW 12TH AVE, ACC EAST 2ND FLOOR, ORAL AND MAXILLOFACIAL SURGERY, MIAMI, FL 33136-1005
(305) 585-5326
Mailing address
1611 NW 12TH AVE, ACC EAST 2ND FLOOR, ORAL AND MAXILLOFACIAL SURGERY, MIAMI, FL 33136-1005
(305) 585-5326
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DRP1168
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2013
Last updated
07/13/2015
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