Individual
DR. KAYLA ELIZABETH FATIH-MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
4930 E LAKE MARY BLVD, SANFORD, FL 32771-5003
(407) 284-3475
Mailing address
4930 E LAKE MARY BLVD, SANFORD, FL 32771-5003
(704) 989-2321
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN28402
FL
Other
Enumeration date
07/17/2023
Last updated
03/27/2024
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