Individual
KIMBERLY ROCHELLE CARLYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8255 LEE VISTA BLVD, SUITE #D, ORLANDO, FL 32829-8018
(407) 447-9060
Mailing address
8255 LEE VISTA BLVD, SUITE #D, ORLANDO, FL 32829-8018
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN16534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075745400
—
FL
Enumeration date
01/11/2006
Last updated
07/03/2013
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