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 |