MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS AT LONDON SQUARE PA NPI 1174859896

NPI Information

MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS AT LONDON SQUARE, PA is a pediatric dentistry dentist in Miami, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS AT LONDON SQUARE, PA NPI is 1174859896. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dental Associates Of West Kendall.

The provider's business location address is:

13400 SW 120TH ST
STE 310
MIAMI, FL
ZIP 33186-440
Phone: (305) 255-9541

The provider's authorized official is Stephanie Gomez .
The authorized official title is Provider Relations Specialist and has the following contact phone number (305) 274-2499.

The enumeration date for this NPI number is 10/30/2009 and was last updated on 8/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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