| Main Street Children's Dentistry And Orthodontics Of Coral Springs, Pl | |
|
7663 W Sample Rd Coral Springs FL 33065-4718 | |
| (305) 274-2499 | |
| Not Available |
| Full Name | Main Street Children's Dentistry And Orthodontics Of Coral Springs, Pl |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7663 W Sample Rd, Coral Springs, Florida |
| Authorized Official Name and Position | Stephanie Gomez (PROVIDER RELATIONS) |
| Authorized Official Contact | 3052742499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Children's Dentistry And Orthodontics Of Coral Springs, Pl 7663 W Sample Rd Coral Springs FL 33065-4718 Ph: () - | Main Street Children's Dentistry And Orthodontics Of Coral Springs, Pl 7663 W Sample Rd Coral Springs FL 33065-4718 Ph: (305) 274-2499 |
| NPI Number | 1073995395 |
|---|---|
| Provider Enumeration Date | 06/23/2015 |
| Last Update Date | 06/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073995395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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