Organization
MAIN STREET ORTHODONTICS OF JUPITER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY PARRISH (DIRECTOR OF OPERATIONS)
(305) 274-2499
Entity
Organization
Contact information
Practice address
175 TONEY PENNA DR STE 105, JUPITER, FL 33458-5747
(561) 745-3118
(561) 745-2440
Mailing address
175 TONEY PENNA DR STE 105, JUPITER, FL 33458-5747
(561) 745-3118
(561) 745-2440
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
08/22/2020
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