Individual
DR. LEO J. DURRETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.A.
Contact information
Practice address
8600 15TH LANE, NORTH, ST. PETERSBURG, FL 33702
(727) 576-0037
(727) 576-0037
Mailing address
8600 15TH LANE, NORTH, ST. PETERSBURG, FL 33702
(727) 576-0037
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN6009
FL
Other
Enumeration date
01/31/2007
Last updated
09/30/2011
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