Organization
AMLEY & AMLEY ORTHODONTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B AMLEY D.D.S. (SECRETARY/TREASURER/PARTNER)
(727) 381-1062
Entity
Organization
Contact information
Practice address
5753 FIRST AVE. N., ST PETERSBURG, FL 33710-7913
(727) 381-1062
(727) 343-8337
Mailing address
5753 FIRST AVE. N., ST PETERSBURG, FL 33710-7913
(727) 381-1062
(727) 343-8337
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN4233
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN5143
FL
Other
Enumeration date
11/21/2006
Last updated
09/09/2008
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