Individual
LEIGH ANN MCILWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4710 N HABANA AVE, SUITE 203, TAMPA, FL 33614-7161
(813) 879-8097
(813) 875-8792
Mailing address
4710 N HABANA AVE, SUITE 203, TAMPA, FL 33614-7161
(813) 879-8097
(813) 875-8792
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN 14465
FL
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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