Organization
VOLUSIA ENDODONTICS EAST, PA
Active
Other names
Volusia Endodontics East, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD A LIPKIN D.D.S. (ENDODONTIST)
(386) 256-2512
Entity
Organization
Contact information
Practice address
1148 PELICAN BAY DR, DAYTONA BEACH, FL 32119-1381
(386) 256-2512
Mailing address
1148 PELICAN BAY DR, DAYTONA BEACH, FL 32119-1381
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN16984
FL
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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