| Professional Endodontics Ll | |
|
70 Howard St Suite B New London CT 06320-4937 | |
| (860) 447-2572 | |
| (860) 447-2638 |
| Full Name | Professional Endodontics Ll |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 70 Howard St, New London, Connecticut |
| Authorized Official Name and Position | Milos R Janicek (PRESIDENT) |
| Authorized Official Contact | 8604472572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Endodontics Ll 70 Howard St Suite B New London CT 06320-4937 Ph: (860) 447-2572 | Professional Endodontics Ll 70 Howard St Suite B New London CT 06320-4937 Ph: (860) 447-2572 |
| NPI Number | 1669751939 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 08/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669751939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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