Main Street Children's Dentistry And Orthodontics Of Wellington, Pa | |
11903 Southern Blvd. Suite #102 Royal Palm Beach FL 33411 | |
(561) 422-2940 | |
(561) 422-2945 |
Full Name | Main Street Children's Dentistry And Orthodontics Of Wellington, Pa |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 11903 Southern Blvd., Royal Palm Beach, Florida |
Authorized Official Name and Position | Stephanie Gomez (PROVIDER RELATIONS) |
Authorized Official Contact | 3052742499 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Street Children's Dentistry And Orthodontics Of Wellington, Pa 13195 Sw 134 St 2nd Floor Miami FL 33186 Ph: (305) 274-2499 | Main Street Children's Dentistry And Orthodontics Of Wellington, Pa 11903 Southern Blvd. Suite #102 Royal Palm Beach FL 33411 Ph: (561) 422-2940 |
NPI Number | 1760687149 |
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Provider Enumeration Date | 06/18/2007 |
Last Update Date | 08/20/2014 |
Identifier | Type | State | Issuer |
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1760687149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Florida) | Primary |
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Dentists Of Royal Palm Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11151 Southern Blvd Ste 110, Royal Palm Beach, FL 33411 Phone: 561-246-6371 | |
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Main Street Children's Dentistry Of Wellington Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11903 Southern Blvd, Suite 102, Royal Palm Beach, FL 33411 Phone: 561-459-2733 |