| NPI | 1043893175 |
|---|---|
| Doing Business As | THEODORE K CHAMBERLAIN DMD PA |
| Entity Type | Organization |
| Authorized Contact | THEODORE K CHAMBERLAIN Owner 727-441-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |