BLAINE AMMON

LARGO, FL
NPI1558988493
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN28141)
Enumeration Date2020-06-26
Last Update Date2025-02-11
Business Address
BLAINE AMMON
13200 SEMINOLE BLVD STE 204
LARGO, FL 33778-2132
Phone number: 727-223-1435
Mailing Address
BLAINE AMMON
9505 49TH ST N APT 2-322
PINELLAS PARK, FL 33782-5291
Phone number:
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