Main Street Children's Dentistry And Orthodontics Of Wellington, Pa

Specialty details in registry · Royal Palm Beach, FL

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At a glance

11903 Southern Blvd., Royal Palm Beach, FL 33411

NPPES record updated Aug 20, 2014. Public records can lag behind changes at a practice.

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Practice location

11903 Southern Blvd. Suite #102
Royal Palm Beach, FL 33411

Professional details: NPI, taxonomy & registry record

NPI1760687149

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 1223X0400X
Enumeration date: Jun 18, 2007
Record updated: Aug 20, 2014

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223X0400X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

11903 Southern Blvd.
Suite #102
Royal Palm Beach, FL 33411

Phone: (561) 422-2940
Fax: (561) 422-2945

Mailing address

13195 SW 134 ST
2ND FLOOR
MIAMI, FL 33186

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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