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Organization
MAIN STREET CHILDREN'S DENTISTRY OF AVENTURA, PA
Active
Organization
MAIN STREET CHILDREN'S DENTISTRY OF AVENTURA, PA
Active
Other names
The Dental Center at Aventura
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (PROVIDER RELATIONS)
(305) 274-2499
Entity
Organization
Contact information
Practice address
19086 NE 29 AVE, AVENTURA, FL 33180
(305) 933-4355
Mailing address
13195 SW 134 ST, 2ND FLOOR, MIAMI, FL 33186
(305) 274-2499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
08/18/2014
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