NPI | 1275321192 |
---|---|
Doing Business As | CRESCENT CITY ENDODONTICS |
Entity Type | Organization |
Authorized Contact | TRENT LALLY Endodontist 248-866-0760 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2025-04-29 |
Last Update Date | 2025-04-29 |