Individual
KYRA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 NW 107TH AVE STE 100, DORAL, FL 33172-2215
(786) 388-0950
Mailing address
185 SW 7TH ST APT 3805, MIAMI, FL 33130-2985
(305) 498-7702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN2047
FL
Other
Enumeration date
06/11/2024
Last updated
08/06/2026
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