J P Irelan Endodontics LLC

NPI #1306345814 in Mount Pleasant, Wisconsin

Provider Information

NPI Number: 1306345814
Entity Type: Organization
Organization Name: J P Irelan Endodontics LLC
Primary Specialty: Dentist - Endodontics
Enumeration Date: Feb 9, 2018
Last Updated: Feb 9, 2018

Practice Location

Address: 6754 LINDERMANN AVE
City: Mount Pleasant
State: Wisconsin
ZIP Code: 53406-5603
Phone: (262) 632-5455

Authorized Official

Name: DR. JON IRELAN, DDS
Title: OWNER
Phone: (262) 632-5455

Specialties & Taxonomy Codes

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

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