Organization
MAIN STREET CHILDREN'S DENTISTRY OF WELLINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY PARRISH (OFFICE MANAGER)
(305) 274-2499
Entity
Organization
Contact information
Practice address
12788 W FOREST HILL BLVD, WELLINGTON, FL 33414-4703
(561) 422-2940
(561) 422-2945
Mailing address
12788 W FOREST HILL BLVD, WELLINGTON, FL 33414-4703
(561) 422-2940
(561) 422-2945
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
FL
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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