Provider Demographics
NPI:1245535822
Name:VINUELA, KARI MOSS (DDS)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:MOSS
Last Name:VINUELA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 SW 93RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2066
Mailing Address - Country:US
Mailing Address - Phone:352-258-1014
Mailing Address - Fax:
Practice Address - Street 1:10141 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3947
Practice Address - Country:US
Practice Address - Phone:305-552-6066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-13
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 19133122300000X
MD14636122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist