| NPI | 1295202240 |
|---|---|
| Doing Business As | CONYERS ENDODONIC CENTER |
| Entity Type | Organization |
| Authorized Contact | ASHLY SUNSHINE Credentialing Specialist 314-413-2803 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2023-08-08 |