Endodontic Associates of Nwo LLC
NPI #1578666442 in Wapakoneta, Ohio
Provider Information
- NPI Number
- 1578666442
- Entity Type
- Organization
- Organization Name
- Endodontic Associates of Nwo LLC
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 715 N DIXIE
- City
- Wapakoneta
- State
- Ohio
- ZIP Code
- 45895-0024
- Phone
- (419) 738-6944
Authorized Official
- Name
- DR. ALAN BYRON MIKESELL, DDS MS
- Title
- PRESIDENT MEMBER
- Phone
- (419) 738-6944
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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