Organization
DENTAL CENTER AT BAPTIST MEDICAL PLAZA, PA
Active
Organization
DENTAL CENTER AT BAPTIST MEDICAL PLAZA, PA
Active
Other names
Main Street Orthodontics at Baptist Medical Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (PROVIDER RELATIONS)
(305) 274-2499
Entity
Organization
Contact information
Practice address
8750 SW 144 ST, SUITE 205, MIAMI, FL 33176
(305) 969-3122
Mailing address
13195 SW 134 ST, 2ND FLOOR, MIAMI, FL 33186
(305) 274-2499
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/20/2014
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