| Childrens Dental Place Of Wellington Inc | |
|
1051 G State Road #7 Suite 2 Wellington FL 33414 | |
| (561) 790-1909 | |
| Not Available |
| Full Name | Childrens Dental Place Of Wellington Inc |
|---|---|
| Speciality | Dentist |
| Location | 1051 G State Road #7, Wellington, Florida |
| Authorized Official Name and Position | Joseph Lewis Herman (OWNER) |
| Authorized Official Contact | 5617901909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dental Place Of Wellington Inc 1051 G State Road #7 Suite 2 Wellington FL 33414 Ph: (561) 790-1909 | Childrens Dental Place Of Wellington Inc 1051 G State Road #7 Suite 2 Wellington FL 33414 Ph: (561) 790-1909 |
| NPI Number | 1699964551 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 10/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699964551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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