Individual
CHELSEA BROCKWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 1ST ST E STE 530, BRADENTON, FL 34208-4423
(941) 746-7460
Mailing address
3611 1ST ST E STE 530, BRADENTON, FL 34208-4423
(941) 746-7460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DRP1183
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN20729
FL
Other
Enumeration date
08/21/2013
Last updated
07/22/2019
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