Kyzer, Deric
Kyzer, Deric is an individual health care provider with primary practice located at 4873 Highway 90 Ste A , Milton FL 32571-1401. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kyzer, Deric can be contacted via phone (850) 602-9033.Contact Information
Primary practice address
4873 Highway 90 Ste A
Milton FL 32571-1401
Phone: (850) 602-9033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN27463 | Florida |
Profile Details
| NPI number | 1962139972 |
|---|---|
| LBN Legal business name | Kyzer, Deric |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2022 |
| Last updated | Aug 11th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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