Organization
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF PLANTATION, PA
Active
Organization
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF PLANTATION, PA
Active
Other names
Main Street Orthodonitcs of Plantation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA JOHNSON (CRO)
(941) 444-0558
Entity
Organization
Contact information
Practice address
318 S UNIVERSITY DR, PLANTATION, FL 33324-3344
(954) 474-8849
Mailing address
318 S UNIVERSITY DR, PLANTATION, FL 33324-3344
(954) 474-8849
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/12/2006
Last updated
07/22/2026
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