Tmj Tx Clinic
NPI #1144558727 in Port Richey, Florida
Provider Information
- NPI Number
- 1144558727
- Entity Type
- Organization
- Organization Name
- Tmj Tx Clinic
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 19, 2009
- Last Updated
- Nov 19, 2009
Practice Location
- Address
- 8649 REGENCY PARK BLVD
- City
- Port Richey
- State
- Florida
- ZIP Code
- 34668-5742
- Phone
- (727) 813-0475
Authorized Official
- Name
- MRS. INA MARIE CHANCEY, MS/CCC/SLP
- Title
- OWNER
- Phone
- (727) 813-0475
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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