Organization
CHILDREN'S DENTAL CENTER OF KENDALL, PA
Active
Other names
Main Street Children's Dentistry of Kendall
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE GOMEZ (PROVIDER RELATIONS)
(305) 274-2499
Entity
Organization
Contact information
Practice address
7887 N. KENDALL DRIVE, SUITE 200, MIAMI, FL 33156
(305) 275-6224
(305) 275-2974
Mailing address
13195 SW 134 ST, 2ND FLOOR, MIAMI, FL 33186
(305) 274-2499
(305) 274-9312
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/12/2014
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