| Professional Endodontics | |
|
29201 Telegraph Rd Suite 110 Southfield MI 48034-1331 | |
| (248) 358-2910 | |
| (248) 358-2479 |
| Full Name | Professional Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 29201 Telegraph Rd, Southfield, Michigan |
| Authorized Official Name and Position | Dominick Shoha (PRESIDENT) |
| Authorized Official Contact | 2483582910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Endodontics 29201 Telegraph Rd Suite 110 Southfield MI 48034-1331 Ph: (248) 358-2910 | Professional Endodontics 29201 Telegraph Rd Suite 110 Southfield MI 48034-1331 Ph: (248) 358-2910 |
| NPI Number | 1679797609 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679797609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (Michigan) | Primary |
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