Individual
DR. KISTAMA NAIDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
18503 PINES BLVD, SUITE# 304, PEMBROKE PINES, FL 33029-1404
(954) 805-3588
Mailing address
18503 PINES BLVD, SUITE# 304, PEMBROKE PINES, FL 33029-1404
(954) 805-3588
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 17002
FL
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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