| Endo Pllc | |
|
7500 Iron Bar Ln Gainesville VA 20155-3603 | |
| (703) 844-9070 | |
| Not Available |
| Full Name | Endo Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 7500 Iron Bar Ln, Gainesville, Virginia |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endo Pllc 7500 Iron Bar Ln Gainesville VA 20155-3603 Ph: (703) 844-9070 | Endo Pllc 7500 Iron Bar Ln Gainesville VA 20155-3603 Ph: (703) 844-9070 |
| NPI Number | 1639941966 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639941966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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