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Main Street Children's Dentistry Of Miami Lakes, Pllc
Pediatric Dentist in Miami Lakes, Florida
NPI 1043611858

Main Street Children's Dentistry Of Miami Lakes, Pllc is a Pediatric Dentist based in Miami Lakes, FL and is specialized in Pediatric Dentistry. Main Street Children's Dentistry Of Miami Lakes, Pllc practices in Miami Lakes, FL. The NPI Number for Main Street Children's Dentistry Of Miami Lakes, Pllc is 1043611858 and holds a License No. (Florida).

The current practice location address for Main Street Children's Dentistry Of Miami Lakes, Pllc is 15501 Nw 67Th Ave Ste 201, Miami Lakes, FL and can be reached out via phone at 786-577-4968.

Location: 15501 Nw 67Th Ave Ste 201, Miami Lakes, FL, 33014-2108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043611858
Provider Name
Main Street Children's Dentistry Of Miami Lakes, Pllc
Credential
Provider Entity Type
Organization
Address
15501 Nw 67Th Ave Ste 201, Miami Lakes, FL, 33014-2108
Phone Number
786-577-4968
Fax Number
Provider Enumeration Date
09/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15501 Nw 67Th Ave Ste 201
City
Miami Lakes
State
Florida
Zip
33014-2108
Phone Number
786-577-4968
Fax Number
person
Provider Business Mailing Address Details
Address
15501 Nw 67Th Ave Ste 201
City
Miami Lakes
State
Florida
Zip
33014-2108
Phone Number
786-577-4968
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
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.
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