Main Street Children's Dentistry & Orthodontics of Palmetto Bay, PA
NPI #1174850093 in Palmetto Bay, Florida
Provider Information
- NPI Number
- 1174850093
- Entity Type
- Organization
- Organization Name
- Main Street Children's Dentistry & Orthodontics of Palmetto Bay, PA
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Nov 13, 2009
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 8805 SW 144TH ST
- City
- Palmetto Bay
- State
- Florida
- ZIP Code
- 33176-7218
- Phone
- (305) 253-6944
Authorized Official
- Name
- STEPHANIE GOMEZ
- Title
- CREDENTIALING SUPERVISOR
- Phone
- (305) 274-2499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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