| Main Street Children's Dentistry And Orthodontics Of Homestead, P.a. | |
|
925 Ne 30th Ter Ste 110 Homestead FL 33033-7614 | |
| (305) 274-2499 | |
| (305) 274-9312 |
| Full Name | Main Street Children's Dentistry And Orthodontics Of Homestead, P.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 925 Ne 30th Ter Ste 110, Homestead, Florida |
| Authorized Official Name and Position | Stephanie Gomez (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Contact | 3052742499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Children's Dentistry And Orthodontics Of Homestead, P.a. 13195 Sw 134th St Fl 2 Miami FL 33186-4461 Ph: (305) 274-2499 | Main Street Children's Dentistry And Orthodontics Of Homestead, P.a. 925 Ne 30th Ter Ste 110 Homestead FL 33033-7614 Ph: (305) 274-2499 |
| NPI Number | 1124310867 |
|---|---|
| Provider Enumeration Date | 05/13/2011 |
| Last Update Date | 08/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124310867 | NPI | - | NPPES |
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