| Endodontics | |
|
609 N Charles Richard Beall Blvd Ste 105 Debary FL 32713-2218 | |
| (386) 775-2025 | |
| Not Available |
| Full Name | Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 609 N Charles Richard Beall Blvd Ste 105, Debary, Florida |
| Authorized Official Name and Position | Michael Edward Degrood (OWNER) |
| Authorized Official Contact | 3867752025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontics 609 N Charles Richard Beall Blvd Ste 105 Debary FL 32713-2218 Ph: (386) 775-2025 | Endodontics 609 N Charles Richard Beall Blvd Ste 105 Debary FL 32713-2218 Ph: (386) 775-2025 |
| NPI Number | 1114025236 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114025236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 0012305 (Florida) | Primary |
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