Individual
DR. CHRISTOPHER MICHAEL KAOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4801 S UNIVERSITY DR STE 112, DAVIE, FL 33328-3835
(954) 434-0600
Mailing address
880 CHOLLA DR, BARSTOW, CA 92311-5410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7712229-9921
UT
122300000X
Dentist
Primary
DN 20774
FL
Other
Enumeration date
07/22/2010
Last updated
07/31/2014
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