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Organization

NORTHEAST ST. PETERSBURG ORTHODONTICS LLC

Active
Other names
Community Orthodontic Centers
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL WAYNE ROWE (PRESIDENT)
(727) 327-7151
Entity
Organization

Contact information

Practice address
3864 5TH AVE N, ST PETERSBURG, FL 33713-7521
(727) 327-7151
Mailing address
3864 5TH AVE N, ST PETERSBURG, FL 33713-7521

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
12/15/2022
Last updated
12/15/2022
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