NPI | 1447803382 |
---|---|
Doing Business As | ELEVATION ENDODONTICS |
Entity Type | Organization |
Authorized Contact | ADAM JOHN MCKISSOCK Endodontist 719-357-1336 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2019-07-19 |
Last Update Date | 2023-11-17 |