Organization
113TH STREET SEMINOLE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LAYMAN D.M.D (OWNER)
(727) 392-3900
Entity
Organization
Contact information
Practice address
8500 113TH ST, SUITE B, SEMINOLE, FL 33772-4126
(727) 392-3900
Mailing address
8500 113TH ST, SUITE B, SEMINOLE, FL 33772-4126
(727) 392-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15686
FL
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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