Escondido Endodontics Inc | |
488 East Valley Parkway Suite 307 Escondido CA 92025-3373 | |
(760) 739-1400 | |
(760) 739-1100 |
Full Name | Escondido Endodontics Inc |
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Speciality | Dentist - Endodontics |
Location | 488 East Valley Parkway, Escondido, California |
Authorized Official Name and Position | Robert Joseph Hanlon (PRESIDENT) |
Authorized Official Contact | 7607391400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Escondido Endodontics Inc 488 East Valley Parkway Suite 307 Escondido CA 92025-3373 Ph: (760) 739-1400 | Escondido Endodontics Inc 488 East Valley Parkway Suite 307 Escondido CA 92025-3373 Ph: (760) 739-1400 |
NPI Number | 1497810790 |
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Provider Enumeration Date | 12/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497810790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 43444 (California) | Primary |
1223E0200X | Dentist - Endodontics | 37237 (California) | Secondary |
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