| NPI | 1780989822 |
|---|---|
| Doing Business As | EXCELSIS ROOT CANAL SPECIALTIES |
| Entity Type | Organization |
| Authorized Contact | DEREK EGO-OSUALA Endodontist 240-244-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 14162) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2013-01-31 |