THEODORE K CHAMBERLAIN
Dentist at Park Ave, Clearwater, FL

License number
Florida 19130
Issued Date
Jun 24, 2010
Effective Date
Jun 24, 2010
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental
Address
Address
500 Park Ave, Clearwater, FL 33756
Phone
(727) 441-1606
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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THEODORE K. CHAMBERLAIN, D.M.D., P.L.C

555 S Hercules Ave #403, Clearwater, FL 33764

Industry:
Dentist's Office, Offices and Clinics of Dentists
Doing business as:
Theodore K Chamberlain DMD Plc
Registration:
Dec 30, 2011
State ID:
L12000001428
Business type:
Florida Limited Liability Company
Family And General Dentistrys:
Chamberlain, Theodore K, Dr, 555 S Hercules Ave, Clearwater, FL 33764 (Physical),Theodore K. Chamberlain (Family And General Dentistry)
Agent:
Alan Gassman,1245 Ct St SUITE 102, Clearwater, FL 33756 (Physical)
EIN:
45-4227987

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