NPI | 1316604325 |
---|---|
Doing Business As | M.CITY ENDODONTICS |
Entity Type | Organization |
Authorized Contact | JASON BERTOLLINI Credentialing Manger 315-450-0763 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2021-11-24 |
Last Update Date | 2023-03-15 |