Organization
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF BOCA RATON, P.A.
Active
Other names
Main Street Children's Dentistry of Boca Raton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVYN GOBER DDS (CEO)
(305) 274-2499
Entity
Organization
Contact information
Practice address
595 S FEDERAL HWY STE 130, BOCA RATON, FL 33432-6096
(561) 826-7955
Mailing address
13195 SW 134TH ST FL 2, MIAMI, FL 33186-4461
(305) 274-2499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/11/2011
Last updated
07/10/2012
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