Organization
CHELSEA BROCKWAY DDS MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA BROCKWAY (OWNER)
(727) 417-3958
Entity
Organization
Contact information
Practice address
1527 S HIGHLAND AVE, CLEARWATER, FL 33756-2374
(727) 250-0522
Mailing address
10265 GANDY BLVD N APT 1615, ST PETERSBURG, FL 33702-2335
(727) 417-3958
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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