Shore Endodontics

NPI #1770020042 in Cos Cob, Connecticut

Provider Information

NPI Number: 1770020042
Entity Type: Organization
Organization Name: Shore Endodontics
Primary Specialty: Dentist - Endodontics
Enumeration Date: Jan 25, 2017
Last Updated: Jan 25, 2017

Practice Location

Address: 40 E PUTNAM AVE
City: Cos Cob
State: Connecticut
ZIP Code: 06807-2600
Phone: (203) 625-7686

Authorized Official

Name: NICK MASTROMIHALIS
Title: OWNER/DENTIST
Phone: (203) 625-7686

Specialties & Taxonomy Codes

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

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