BLAINE AMMON

ST PETERSBURG, FL
NPI1558988493
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN28141)
Enumeration Date2020-06-26
Last Update Date2025-04-07
Business Address
BLAINE AMMON
390 4TH ST N STE 101
ST PETERSBURG, FL 33701-2802
Phone number: 727-282-1980
Mailing Address
BLAINE AMMON
334 2ND AVE S APT 608
ST PETERSBURG, FL 33701-4750
Phone number:
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