Organization
CHILDRENS DENTAL PLACE OF WELLINGTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH LEWIS HERMAN (OWNER)
(561) 790-1909
Entity
Organization
Contact information
Practice address
1051 G STATE ROAD #7, SUITE 2, WELLINGTON, FL 33414
(561) 790-1909
Mailing address
1051 G STATE ROAD #7, SUITE 2, WELLINGTON, FL 33414
(561) 790-1909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
10/10/2012
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