KEVIN ROGER PHANORD

MIAMI, FL
NPI1922622638
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN24864)
Enumeration Date2020-05-29
Last Update Date2020-05-29
Business Address
KEVIN ROGER PHANORD DMD
1245 NW 119TH ST
MIAMI, FL 33167-3231
Phone number: 305-685-7863
Mailing Address
KEVIN ROGER PHANORD DMD
1245 NW 119TH ST
MIAMI, FL 33167-3231
Phone number: