Main Street Children'S Dentistry Of Miami Lakes, Pllc

LBN: Main Street Children'S Dentistry Of Miami Lakes, Pllc
Main Street Children'S Dentistry Of Miami Lakes, Pllc is an health care organization with primary practice located at 15501 Nw 67Th Ave Ste 201 , Miami Lakes FL 33014-2108. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Main Street Children'S Dentistry Of Miami Lakes, Pllc can be contacted via phone (786) 577-4968, or through Gomez, Stephanie via phone (305) 274-2499.

Contact Information

Primary practice address
15501 Nw 67Th Ave Ste 201 Miami Lakes FL 33014-2108
Phone: (786) 577-4968
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Stephanie
Phone: (305) 274-2499

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1043611858
LBN Legal business name Main Street Children'S Dentistry Of Miami Lakes, Pllc
DBA Doing business as
Authorized official Gomez, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2014
Last updated Jun 23rd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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