Main Street Children's Dentistry of Aventura, PA

NPI #1851496236 in Aventura, Florida

Provider Information

NPI Number: 1851496236
Entity Type: Organization
Organization Name: Main Street Children's Dentistry of Aventura, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 13, 2006
Last Updated: Aug 18, 2014

Practice Location

Address: 19086 NE 29 AVE
City: Aventura
State: Florida
ZIP Code: 33180
Phone: (305) 933-4355

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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