Northwest Endodontic Specialists, P.c.

NPI #1700058302 in Canton, Georgia

Provider Information

NPI Number
1700058302
Entity Type
Organization
Organization Name
Northwest Endodontic Specialists, P.c.
Primary Specialty
Dentist - Endodontics
Enumeration Date
Mar 24, 2008
Last Updated
Mar 24, 2008

Practice Location

Address
2205 RIVERSTONE BLVD
Address 2
SUITE 205
City
Canton
State
Georgia
ZIP Code
30114-5227
Phone
(678) 493-6693

Authorized Official

Name
DR. RICHARDSON MICHAEL ODUM, DMD
Title
PRESIDENT
Phone
(678) 493-6693

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics

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