East Coast Endodontics

NPI 1386658284 - Clinic/Center - 261QD0000X

NPI Details
NPI 1386658284
Enumeration Date 07/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RODERICK M RODERICK
Position OWNER
Phone (386) 252-0858
Fax (386) 253-7004
Practice Location
912 S RIDGEWOOD AVE
SUITE C
DAYTONA BEACH FL, 32114-5349, US
Phone (386) 252-0858
Fax (386) 253-7004
Business Location
912 S RIDGEWOOD AVE
SUITE C
DAYTONA BEACH FL, 32114-5349, US
Phone (386) 252-0858
Fax (386) 253-7004
Toxanomy
Taxonomy Code 261QD0000X
License State Florida
License Number DN12743
Remove 1386658284 NPI Number
 

According to our database, East Coast Endodontics NPI is 1386658284, taxonomy code is 261QD0000X and license number is DN12743, license state is located at Florida. East Coast Endodontics physically located at 912 S Ridgewood Ave, Daytona Beach FL, 32114-5349. NPI Number 1033115704 has the healthcare provider type.

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1386658284 NPI number is provided on an as is basis without warranty of any kind. 1386658284 is maintained by the National Plan & Provider Enumeration System. The contents of East Coast Endodontics are for informational purposes only.