| Main Street Children's Dentistry At Medical Plaza | |
|
8750 Sw 144th St Ste 205 Village Of Palmetto Bay FL 33176-7230 | |
| (305) 969-3122 | |
| Not Available |
| Full Name | Main Street Children's Dentistry At Medical Plaza |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8750 Sw 144th St Ste 205, Village Of Palmetto Bay, Florida |
| Authorized Official Name and Position | Melody Parrish (DIRECTOR OF OPERATIONS) |
| 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 At Medical Plaza 8750 Sw 144th St Ste 205 Village Of Palmetto Bay FL 33176-7230 Ph: (305) 969-3122 | Main Street Children's Dentistry At Medical Plaza 8750 Sw 144th St Ste 205 Village Of Palmetto Bay FL 33176-7230 Ph: (305) 969-3122 |
| NPI Number | 1790880151 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790880151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |