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Organization
REDLANDS ENDODONTICS
Active
Organization
REDLANDS ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENELLE MEREDITH SILVERS DDS (ENDODONTIST)
(717) 514-8227
Entity
Organization
Contact information
Practice address
245 TERRACINA BLVD SUITE 207 B, REDLANDS, CA 92373
(909) 798-2228
(909) 798-2224
Mailing address
245 TERRACINA BLVD STE 207B, REDLANDS, CA 92373-4869
(909) 798-2228
(909) 798-2224
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
59904
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053613968
INDIVIDUAL NPI
—
Enumeration date
03/23/2018
Last updated
07/21/2022
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