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NPI Code Detail

MEDICARE: LAUREN M SOLOMON KRAVITZ D.D.S.

MEDICARE: LAUREN M SOLOMON KRAVITZ D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN10554FL

General Provider Information

NPI Number : 1851623631
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN M SOLOMON KRAVITZ D.D.S.
Provider Business Mailing Address
First Line : 18482 NW 67TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33015-3440
Country : US
Telephone Number : 305-822-9696
Fax Number : 305-824-9560
Provider Business Practice Location Address
First Line : 18482 NW 67TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33015-3440
Country : US
Telephone Number : 305-822-9696
Fax Number : 305-824-9560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2010
Last Update Date : 02/04/2010

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Directions to “ LAUREN M SOLOMON KRAVITZ D.D.S.” Practice Location

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