Endodontic & Periodontic Associates, Ltd

NPI #1013075480 in Homewood, Illinois

Provider Information

NPI Number: 1013075480
Entity Type: Organization
Organization Name: Endodontic & Periodontic Associates, Ltd
Primary Specialty: Dentist - Endodontics
Enumeration Date: Dec 5, 2006
Last Updated: Oct 17, 2014

Practice Location

Address: 18130 HALSTED ST
City: Homewood
State: Illinois
ZIP Code: 60430-2507
Phone: (708) 799-2550

Authorized Official

Name: MR. J. MICHAEL CVENGROS
Title: COO & PRACTICE ADMINISTRATOR
Phone: (708) 922-1165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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