| Main Street Children's Dentistry Of Cape Coral | |
|
1715 Cape Coral Pkwy W Suite 11 Cape Coral FL 33914-6914 | |
| (239) 542-1318 | |
| Not Available |
| Full Name | Main Street Children's Dentistry Of Cape Coral |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1715 Cape Coral Pkwy W, Cape Coral, Florida |
| Authorized Official Name and Position | Melvyn Gober (CEO) |
| 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 Of Cape Coral 13195 Sw 134th St 2nd Floor Miami FL 33186-4461 Ph: (305) 274-2499 | Main Street Children's Dentistry Of Cape Coral 1715 Cape Coral Pkwy W Suite 11 Cape Coral FL 33914-6914 Ph: (239) 542-1318 |
| NPI Number | 1093035727 |
|---|---|
| Provider Enumeration Date | 06/04/2010 |
| Last Update Date | 07/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093035727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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