Organization
EVERGLADES PEDIATRIC DENTISTRY II
Active
Other names
Everglades Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA DANIELLE KINDELL DMD (OWNER/DENTIST)
(863) 382-0340
Entity
Organization
Contact information
Practice address
5606 US HIGHWAY 27 N, SEBRING, FL 33870-1211
(863) 382-0340
(863) 357-7342
Mailing address
5606 US HIGHWAY 27 N, SEBRING, FL 33870-1211
(863) 382-0340
(863) 357-7342
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN16660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1223P0221X
—
FL
Enumeration date
12/21/2015
Last updated
12/21/2015
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