| Main Street Children's Denistry Of Palmetto Bay | |
|
8805 Sw 144th St Palmetto Bay FL 33176-7218 | |
| (305) 253-6944 | |
| (305) 251-9989 |
| Full Name | Main Street Children's Denistry Of Palmetto Bay |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8805 Sw 144th St, Palmetto Bay, Florida |
| Authorized Official Name and Position | Stephanie Gomez (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 3052742499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Children's Denistry Of Palmetto Bay 13195 Sw 134 St 2nd Floor Miami FL 33186 Ph: (305) 274-2499 | Main Street Children's Denistry Of Palmetto Bay 8805 Sw 144th St Palmetto Bay FL 33176-7218 Ph: (305) 253-6944 |
| NPI Number | 1174850093 |
|---|---|
| Provider Enumeration Date | 11/13/2009 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174850093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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