| Main Street Children's Dentistry And Orthodontics Of Plantation Pa | |
|
7115 W Broward Blvd # 155 Plantation FL 33317-2210 | |
| (954) 474-8849 | |
| Not Available |
| Full Name | Main Street Children's Dentistry And Orthodontics Of Plantation Pa |
|---|---|
| Speciality | Dentist |
| Location | 7115 W Broward Blvd # 155, Plantation, Florida |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7277261611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Children's Dentistry And Orthodontics Of Plantation Pa 7115 W Broward Blvd # 155 Plantation FL 33317-2210 Ph: () - | Main Street Children's Dentistry And Orthodontics Of Plantation Pa 7115 W Broward Blvd # 155 Plantation FL 33317-2210 Ph: (954) 474-8849 |
| NPI Number | 1437566494 |
|---|---|
| Provider Enumeration Date | 07/22/2014 |
| Last Update Date | 11/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437566494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Florida) | Primary |
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