Main Street Children's Dentistry & Orthodontics of Naples, PA

NPI #1760619860 in Naples, Florida

Provider Information

NPI Number: 1760619860
Entity Type: Organization
Organization Name: Main Street Children's Dentistry & Orthodontics of Naples, PA
Primary Specialty: Dentist
Enumeration Date: Jun 16, 2009
Last Updated: Aug 20, 2014

Practice Location

Address: 6726 LONE OAK BLVD
City: Naples
State: Florida
ZIP Code: 34109
Phone: (239) 254-0085

Authorized Official

Name: STEPHANIE GOMEZ
Title: PROVIDER RELATIONS
Phone: (305) 274-2499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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