| NPI | 1386302487 |
|---|---|
| Doing Business As | PROFESSIONAL ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | JASON BERTOLLINI Insurance Specialist 315-450-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |