Organization
ADVANCED UPSTSTE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J PFISTER DDS, MS (PRESIDENT)
(862) 624-9229
Entity
Organization
Contact information
Practice address
101 FINLEY ST, CLEMSON, SC 29631-1583
(864) 624-9229
(864) 624-9595
Mailing address
PO BOX 1936, CLEMSON, SC 29633-1936
(864) 624-9229
(864) 624-9595
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
766 ENDO
SC
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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