| 113th Street Seminole Orthodontics Llc | |
|
8500 113th St Seminole FL 33772-4126 | |
| (727) 399-2000 | |
| Not Available |
| Full Name | 113th Street Seminole Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8500 113th St, Seminole, Florida |
| Authorized Official Name and Position | Bill Layman (OWNER) |
| Authorized Official Contact | 7273992000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 113th Street Seminole Orthodontics Llc 8500 113th St Seminole FL 33772-4126 Ph: (727) 399-2000 | 113th Street Seminole Orthodontics Llc 8500 113th St Seminole FL 33772-4126 Ph: (727) 399-2000 |
| NPI Number | 1457726911 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 12/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457726911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 15686 (Florida) | Primary |
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