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Organization
PC ENDO SOUTH PA
Active
Organization
PC ENDO SOUTH PA
Active
Other names
Advanced Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY SMOCK (DIRECTOR OF OPERATIONS)
(352) 404-5550
Entity
Organization
Contact information
Practice address
1471 JOHNS LAKE RD STE 1, CLERMONT, FL 34711-7005
(321) 204-6471
(407) 674-2539
Mailing address
1471 JOHNS LAKE RD STE 1, CLERMONT, FL 34711-7005
(321) 204-6471
(407) 674-2539
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
10/05/2021
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