| Main Street Orthodontics Of South Broward | |
|
9900 Stirling Rd Ste 100 Hollywood FL 33024-8043 | |
| (954) 432-8707 | |
| Not Available |
| Full Name | Main Street Orthodontics Of South Broward |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9900 Stirling Rd Ste 100, Hollywood, 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 Orthodontics Of South Broward 9900 Stirling Rd Ste 100 Hollywood FL 33024-8043 Ph: (954) 432-8707 | Main Street Orthodontics Of South Broward 9900 Stirling Rd Ste 100 Hollywood FL 33024-8043 Ph: (954) 432-8707 |
| NPI Number | 1407951833 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407951833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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