Individual
DR. PHILLIP CHARLES KANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PA
Contact information
Practice address
9125 SW 87TH AVE, MIAMI, FL 33176-2302
(305) 279-3968
(305) 279-5073
Mailing address
9125 SW 87TH AVE, MIAMI, FL 33176-2302
(305) 279-3968
(305) 279-5073
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6017
FL
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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