# ADVANCED ENDODONTIC SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437481876
- **Authorized official:** DR. GISELLE CARDENAS EITTER DDS,MSD (ENDODONTIST/OWNER)
- **Authorized official phone:** (360) 434-3636

## Contact information

- **Practice address:** 335 E SONTERRA BLVD STE 100, SAN ANTONIO, TX 78258-4071
- **Practice address phone:** (360) 434-3636
- **Mailing address:** 335 E SONTERRA BLVD STE 100, SAN ANTONIO, TX 78258-4071
- **Mailing address phone:** (360) 434-3636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 602990076 | WA | Yes |

## Other

- **Enumeration date:** 02/10/2010
- **Last updated:** 06/28/2012
