| Excelsis Root Canal Specialties | |
|
7700 Old Branch Avenue A-204 Clinton MD 20735 | |
| (240) 244-1013 | |
| (240) 244-1035 |
| Full Name | Excelsis Root Canal Specialties |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 7700 Old Branch Avenue, Clinton, Maryland |
| Authorized Official Name and Position | Derek Ego-osuala (ENDODONTIST) |
| Authorized Official Contact | 2402441013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelsis Root Canal Specialties 7700 Old Branch Ave A-204 Clinton MD 20735-1628 Ph: (240) 244-1013 | Excelsis Root Canal Specialties 7700 Old Branch Avenue A-204 Clinton MD 20735 Ph: (240) 244-1013 |
| NPI Number | 1780989822 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 01/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780989822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 14162 (Maryland) | Primary |
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