NPI | 1932483864 |
---|---|
Doing Business As | MAIN STREET CHILDREN'S DENTISTRY OF BOCA RATON |
Entity Type | Organization |
Authorized Contact | MELVYN GOBER CEO 305-274-2499 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2011-10-11 |
Last Update Date | 2012-07-10 |