| Main Street Children's Dentistry Of Wellington | |
|
12788 W Forest Hill Blvd Wellington FL 33414-4703 | |
| (561) 422-2940 | |
| (561) 422-2945 |
| Full Name | Main Street Children's Dentistry Of Wellington |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 12788 W Forest Hill Blvd, Wellington, Florida |
| Authorized Official Name and Position | Melody Parrish (OFFICE MANAGER) |
| Authorized Official Contact | 3052742499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Children's Dentistry Of Wellington 12788 W Forest Hill Blvd Wellington FL 33414-4703 Ph: (561) 422-2940 | Main Street Children's Dentistry Of Wellington 12788 W Forest Hill Blvd Wellington FL 33414-4703 Ph: (561) 422-2940 |
| NPI Number | 1629272349 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629272349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Florida) | Primary |
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