Individual
KYRA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28901 TRAILS EDGE BLVD STE 103, BONITA SPRINGS, FL 34134-7588
(239) 913-6780
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
06/11/2024
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