MAIN STREET CHILDREN'S DENTISTRY OF MIAMI LAKES, PLLC

MIAMI LAKES, FL
NPI1043611858
Entity TypeOrganization
Authorized ContactSTEPHANIE GOMEZ
Provider Relations
305-274-2499
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2014-09-11
Last Update Date2015-06-23
Business Address
MAIN STREET CHILDREN'S DENTISTRY OF MIAMI LAKES, PLLC
15501 NW 67TH AVE STE 201
MIAMI LAKES, FL 33014-2108
Phone number: 786-577-4968
Mailing Address
MAIN STREET CHILDREN'S DENTISTRY OF MIAMI LAKES, PLLC
15501 NW 67TH AVE STE 201
MIAMI LAKES, FL 33014-2108
Phone number:
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