Individual
CHRISTIAN DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
11445 SW 40TH ST, MIAMI, FL 33165-3311
(305) 428-2797
(305) 428-2634
Mailing address
8541 NW 7TH ST, PEMBROKE PINES, FL 33024-6635
(305) 587-6103
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 18028
FL
Other
Enumeration date
10/20/2010
Last updated
07/21/2022
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