Individual
KIMBERLY M SERVICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8060 VIA DELLAGIO WAY STE 202, ORLANDO, FL 32819-5427
(407) 351-4104
(407) 351-0793
Mailing address
8060 VIA DELLAGIO WAY STE 202, ORLANDO, FL 32819-5427
(407) 351-4104
(407) 351-0793
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 19720
FL
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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