| Volusia Endodontics Pa | |
|
2751 Enterprise Rd Ste 211 Orange City FL 32763-8262 | |
| (386) 789-3636 | |
| Not Available |
| Full Name | Volusia Endodontics Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2751 Enterprise Rd Ste 211, Orange City, Florida |
| Authorized Official Name and Position | Alec David Du Lac (OFFICE/MARKETING MANAGER) |
| Authorized Official Contact | 3867893636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Volusia Endodontics Pa 2751 Enterprise Rd Ste 211 Orange City FL 32763-8262 Ph: (386) 789-3636 | Volusia Endodontics Pa 2751 Enterprise Rd Ste 211 Orange City FL 32763-8262 Ph: (386) 789-3636 |
| NPI Number | 1770117525 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770117525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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