| NPI | 1437233202 |
|---|---|
| Other Name | SOUTHEASTERN ENDODONTICS LLC |
| Entity Type | Organization |
| Authorized Contact | DEBORAH DEMOTT Office Manager 912-352-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA 012079) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: GA 7984) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-03-07 |