Main Street Orthodontics of Miami Lakes, P.a.
NPI #1154653913 in Miami Lakes, Florida
Provider Information
- NPI Number
- 1154653913
- Entity Type
- Organization
- Organization Name
- Main Street Orthodontics of Miami Lakes, P.a.
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 4, 2010
- Last Updated
- Jul 10, 2012
Practice Location
- Address
- 15600 NW 67TH AVE
- Address 2
- SUITE 110
- City
- Miami Lakes
- State
- Florida
- ZIP Code
- 33014-2174
- Phone
- (305) 823-8831
Authorized Official
- Name
- DR. MELVYN GOBER, DDS
- Title
- CEO
- Phone
- (305) 274-2499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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