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Organization
EDGEWATER ENDODONTICS
Active
Organization
EDGEWATER ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILDE RIORDAN (OFFICE MANAGER)
(352) 688-7858
Entity
Organization
Contact information
Practice address
5305 SPRING HILL DR, SPRING HILL, FL 34606-4558
(352) 688-7858
(352) 688-7816
Mailing address
5305 SPRING HILL DR, SPRING HILL, FL 34606-4558
(352) 688-7858
(352) 688-7816
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN17788
FL
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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