Organization
PC ENDO SOUTH PA
Active
Other names
Advanced Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY SMOCK (DIRECTOR OF OPERATIONS)
(352) 404-5550
Entity
Organization
Contact information
Practice address
1471 JOHNS LAKE RD STE 1, CLERMONT, FL 34711-7005
(321) 204-6471
(407) 674-2539
Mailing address
1471 JOHNS LAKE RD STE 1, CLERMONT, FL 34711-7005
(321) 204-6471
(407) 674-2539
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
10/05/2021
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