| NPI | 1811760317 |
|---|---|
| Doing Business As | DOTHAN ENDODONTIC ASSOCIATES, PC |
| Entity Type | Organization |
| Authorized Contact | LEE VAN CARROLL Owner/Endodontist 334-793-7687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |