Endodontic Specialists LLC

NPI #1225399108 in Ellington, Connecticut

Provider Information

NPI Number: 1225399108
Entity Type: Organization
Organization Name: Endodontic Specialists LLC
Primary Specialty: Dentist - Endodontics
Enumeration Date: Jun 6, 2012
Last Updated: Jun 6, 2012

Practice Location

Address: 2 CHUCRH ST # 670
City: Ellington
State: Connecticut
ZIP Code: 06029-0670
Phone: (860) 000-0000

Authorized Official

Name: DR. STANISLAV MOLINE, DMD, MDS
Title: MANAGER
Phone: (860) 000-0000

Specialties & Taxonomy Codes

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

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