NPI 1093875940
Kevin V Diep, DMD
Practice location
- Address
- 1761 SE Port Saint Lucie Blvd, Port Saint Lucie, FL 34952
- Phone
- (772) 335-0993
- Mailing address
- 1761 SE Port St Lucie Blvd, Port Saint Lucie, FL 34952-5479
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1093875940
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Dec 2006
- Record last updated
- 3 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.