Endodontics of Edwardsville Pllc
NPI #1487375549 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1487375549
- Entity Type
- Organization
- Organization Name
- Endodontics of Edwardsville Pllc
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Sep 7, 2022
- Last Updated
- Sep 7, 2022
Practice Location
- Address
- 22 GLEN ED PROFESSIONAL PARK STE B
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-3300
- Phone
- (618) 659-2030
Authorized Official
- Name
- DR. ANDREW JAMES MARTENS, DMD, MS
- Title
- OWNER
- Phone
- (309) 507-2877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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