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Organization
YOUR ENDODONTIC SPECIALIST, PA
Active
Organization
YOUR ENDODONTIC SPECIALIST, PA
Active
Other names
Your Endodontic Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT T BAUR PHD, DMD (OWNER)
(813) 313-6591
Entity
Organization
Contact information
Practice address
24820 BURNT PINE DR, SUITE 3, BONITA SPRINGS, FL 34134-2028
(239) 676-1079
Mailing address
24820 BURNT PINE DR, SUITE 3, BONITA SPRINGS, FL 34134-2028
(239) 676-1079
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN 17788
FL
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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