Individual
KEVIN HUAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4075 COUNTY ROAD 218, MIDDLEBURG, FL 32068-5001
(904) 282-9371
Mailing address
4075 COUNTY ROAD 218, MIDDLEBURG, FL 32068-5001
(904) 282-9371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13093
FL
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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