Individual
DR. KERVIN MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1085 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4210
(407) 483-5797
Mailing address
515 10TH AVE N APT A, LAKE WORTH, FL 33460-2203
(561) 628-5107
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN26380
FL
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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