Provider Demographics
NPI:1780183632
Name:KUHNS, YOMALY MADERA (DDS)
Entity type:Individual
Prefix:
First Name:YOMALY
Middle Name:MADERA
Last Name:KUHNS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:YOMALY
Other - Middle Name:
Other - Last Name:MADERA TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:10162 JULIA ISLES AVE
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:FL
Mailing Address - Zip Code:34484-3811
Mailing Address - Country:US
Mailing Address - Phone:562-756-8376
Mailing Address - Fax:
Practice Address - Street 1:2689 E GULF TO LAKE HWY
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34453-3216
Practice Address - Country:US
Practice Address - Phone:562-756-8376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN23141122300000X
FL231411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist