Clermont Endodontic Specialist, P.a.

NPI #1932467461 in Clermont, Florida

Provider Information

NPI Number
1932467461
Entity Type
Organization
Organization Name
Clermont Endodontic Specialist, P.a.
Subpart
Yes (part of a larger organization)
Parent Organization
CLERMONT ENDODONTIC SPECIALIST, P.A.
Primary Specialty
Dentist - Endodontics
Enumeration Date
May 3, 2012
Last Updated
May 3, 2012

Practice Location

Address
265 HATTERAS AVE
Address 2
SUITE 2
State
Florida
ZIP Code
34711-7400
Phone
(352) 394-0150

Authorized Official

Name
PAM HARDIEK
Title
CREDENTIALING/INSURANCE
Phone
(217) 540-5100

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics

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