CHELSEA DERBAUM

LARGO, FL
NPI1790155521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MA  DL12757)
Additional Taxonomies122300000X Dentist
(Licence: FL  DN22338)
Enumeration Date2015-10-06
Last Update Date2020-06-12
Business Address
CHELSEA DERBAUM DMD
1511 INDIAN ROCKS RD S
LARGO, FL 33770-4542
Phone number: 727-585-3858
Mailing Address
CHELSEA DERBAUM DMD
172 PERFECT DR
ST AUGUSTINE, FL 32092-2816
Phone number: 727-418-0514
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