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Your Endodontic Specialist, Pa
Dental Clinic/Center in Bonita Springs, Florida
NPI 1134573207

Your Endodontic Specialist, Pa is a Dental Clinic/Center based in Bonita Springs, FL and is specialized in Dental. Your Endodontic Specialist, Pa practices in Bonita Springs, FL. The NPI Number for Your Endodontic Specialist, Pa is 1134573207 and holds a License No. DN 17788 (Florida).

The current practice location address for Your Endodontic Specialist, Pa is 24820 Burnt Pine Dr, Bonita Springs, FL and can be reached out via phone at 239-676-1079.

Location: 24820 Burnt Pine Dr, Bonita Springs, FL, 34134-2028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134573207
Provider Name
Your Endodontic Specialist, Pa
Credential
Provider Entity Type
Organization
Address
24820 Burnt Pine Dr, Bonita Springs, FL, 34134-2028
Phone Number
239-676-1079
Fax Number
Provider Enumeration Date
04/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24820 Burnt Pine Dr
City
Bonita Springs
State
Florida
Zip
34134-2028
Phone Number
239-676-1079
Fax Number
person
Provider Business Mailing Address Details
Address
24820 Burnt Pine Dr
City
Bonita Springs
State
Florida
Zip
34134-2028
Phone Number
239-676-1079
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DN 17788 (Florida)
Definition
Definition to come...
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