| Main Street Children's Dentistry At Palmetto Hospital, Pa | |
|
7150 W 20 Ave Suite 103 Hialeah FL 33016 | |
| (305) 556-9020 | |
| Not Available |
| Full Name | Main Street Children's Dentistry At Palmetto Hospital, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7150 W 20 Ave, Hialeah, 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 |
|---|---|
| Main Street Children's Dentistry At Palmetto Hospital, Pa 13195 Sw 134 St 2nd Floor Miami FL 33186 Ph: (305) 274-2499 | Main Street Children's Dentistry At Palmetto Hospital, Pa 7150 W 20 Ave Suite 103 Hialeah FL 33016 Ph: (305) 556-9020 |
| NPI Number | 1386756641 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386756641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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