Individual
KRISTIAN POVENTUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7600 S RED RD STE 216, SOUTH MIAMI, FL 33143-5408
(305) 665-6575
Mailing address
7600 S RED RD STE 216, SOUTH MIAMI, FL 33143-5408
(787) 462-2323
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN24437
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2014
Last updated
09/05/2025
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