Advanced Endodontics | |
1471 Johns Lake Rd Ste 1 Clermont FL 34711-7005 | |
(352) 404-5550 | |
Not Available |
Full Name | Advanced Endodontics |
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Speciality | Dentist - Endodontics |
Location | 1471 Johns Lake Rd Ste 1, Clermont, Florida |
Authorized Official Name and Position | Amber Mae Perry (CFO) |
Authorized Official Contact | 3524045550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advanced Endodontics 1471 Johns Lake Rd Ste 1 Clermont FL 34711-7005 Ph: (352) 404-5550 | Advanced Endodontics 1471 Johns Lake Rd Ste 1 Clermont FL 34711-7005 Ph: (352) 404-5550 |
NPI Number | 1942689807 |
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Provider Enumeration Date | 05/26/2015 |
Last Update Date | 01/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942689807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
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