Organization
MCILWAIN DENTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIGH ANN MCILWAIN DMD (OWNER)
(813) 879-8097
Entity
Organization
Contact information
Practice address
4710 N HABANA AVE, STE 203, TAMPA, FL 33614-7146
(813) 879-8097
(813) 875-8792
Mailing address
4710 N HABANA AVE, STE 203, TAMPA, FL 33614-7146
(813) 879-8097
(813) 875-8792
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14465
FL
Other
Enumeration date
06/13/2005
Last updated
01/22/2019
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