Individual
DR. CODY CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13200 SEMINOLE BLVD STE 204, LARGO, FL 33778-2132
(410) 318-9339
Mailing address
1 BEACH DR SE UNIT 1402, ST PETERSBURG, FL 33701-3925
(410) 318-9339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23337
FL
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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