Individual
DR. KIZITO CEDRIC DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1512 NW 208TH ST, MIAMI GARDENS, FL 33169-2247
(518) 334-0477
Mailing address
1512 NW 208TH ST, MIAMI GARDENS, FL 33169-2247
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6396
FL
Other
Enumeration date
12/12/2023
Last updated
04/25/2024
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