Individual
CHELSEA DERBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1511 INDIAN ROCKS RD S, LARGO, FL 33770-4542
(727) 585-3858
(727) 581-0898
Mailing address
172 PERFECT DR, ST AUGUSTINE, FL 32092-2816
(727) 418-0514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL12757
MA
122300000X
Dentist
DN22338
FL
Other
Enumeration date
10/06/2015
Last updated
06/12/2020
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