| NPI | 1780058388 |
|---|---|
| Doing Business As | PROVIDENCE ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | MEETU KOHLI Owner Partner 484-949-8917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS035529) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |