| NPI | 1790880151 |
|---|---|
| Doing Business As | MAIN STREET CHILDREN'S DENTISTRY AT MEDICAL PLAZA |
| Entity Type | Organization |
| Authorized Contact | MELODY PARRISH Director Of Operations 305-274-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |