Organization
113TH STREET SEMINOLE ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL LAYMAN D.M.D. (OWNER)
(727) 399-2000
Entity
Organization
Contact information
Practice address
8500 113TH ST, SEMINOLE, FL 33772-4126
(727) 399-2000
Mailing address
8500 113TH ST, SEMINOLE, FL 33772-4126
(727) 399-2000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15686
FL
Other
Enumeration date
12/09/2015
Last updated
12/10/2015
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