Organization
MAIN STREET CHILDREN'S DENTISTRY & ORTHODONTICS OF NAPLES, PA
Active
Other names
Main Street Children's Dentistry of Naples
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (PROVIDER RELATIONS)
(305) 274-2499
Entity
Organization
Contact information
Practice address
6726 LONE OAK BLVD, NAPLES, FL 34109
(239) 254-0085
(239) 254-0059
Mailing address
13195 SW 134 ST, 2ND FLOOR, MIAMI, FL 33186
(305) 274-2499
(239) 254-0059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 5380
FL
Other
Enumeration date
06/16/2009
Last updated
08/20/2014
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