Organization
FLORIDA ORTHODONTIC INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO P. CHIN D.M.D. (ORTHODONTIST)
(813) 264-7006
Entity
Organization
Contact information
Practice address
5020 GUNN HWY, #200, TAMPA, FL 33624-6379
(813) 264-7006
(813) 264-6072
Mailing address
5020 GUNN HWY, #200, TAMPA, FL 33624-6379
(813) 264-7006
(813) 264-6072
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11575
FL
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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