Organization
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CORAL SPRINGS, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (PROVIDER RELATIONS)
(305) 274-2499
Entity
Organization
Contact information
Practice address
7663 W SAMPLE RD, CORAL SPRINGS, FL 33065-4718
(305) 274-2499
Mailing address
7663 W SAMPLE RD, CORAL SPRINGS, FL 33065-4718
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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