Organization
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF SOUTH BROWARD, PA
Active
Other names
Main Street Orthodontics of South Broward
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELODY PARRISH (DIRECTOR OF OPERATIONS)
(305) 274-2499
Entity
Organization
Contact information
Practice address
9900 STIRLING RD STE 100, HOLLYWOOD, FL 33024-8043
(954) 432-8707
Mailing address
9900 STIRLING RD STE 100, HOLLYWOOD, FL 33024-8043
(954) 432-8707
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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