Organization
MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS OF MIAMI BEACH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 726-1611
Entity
Organization
Contact information
Practice address
4308 ALTON RD, SUITE 930, MIAMI BEACH, FL 33140-4556
(305) 274-2499
Mailing address
4308 ALTON RD, SUITE 930, MIAMI BEACH, FL 33140-4556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
FL
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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