| Main Street Orthodontics Of Kendall, Pa | |
|
7887 N. Kendall Drive, Suite 205 Miami FL 33156 | |
| (305) 271-2255 | |
| Not Available |
| Full Name | Main Street Orthodontics Of Kendall, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7887 N. Kendall Drive, Suite 205, Miami, 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 Orthodontics Of Kendall, Pa 13195 Sw 134 St 2nd Floor Miami FL 33186 Ph: (305) 274-2499 | Main Street Orthodontics Of Kendall, Pa 7887 N. Kendall Drive, Suite 205 Miami FL 33156 Ph: (305) 271-2255 |
| NPI Number | 1275645608 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275645608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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