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Main Street Orthodontics Of Jupiter

Dentist, Orthodontics and Dentofacial Orthopedics in Jupiter, FL. Organization (NPI-2).

NPI number1316144355
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1316144355
Entity type
Organization (NPI-2)
Legal business name
Main Street Orthodontics Of Jupiter
Organization subpart
No
Enumeration date
Jul 2, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics––Yes

Practice location

175 Toney Penna Dr Ste 105
Jupiter, FL 33458-5747

Phone 561-745-3118 · Fax 561-745-2440

Mailing address

175 Toney Penna Dr Ste 105
Jupiter, FL 33458-5747

Phone 561-745-3118 · Fax 561-745-2440

Authorized official

Melody Parrish
Director Of Operations
3052742499

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Other Orthodontics and Dentofacial Orthopedics Dentistry providers in Jupiter, FL

All 16 Orthodontics and Dentofacial Orthopedics Dentistry providers in Jupiter · All 2,911 providers in Jupiter

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