Organization
CORRIDOR ENDODONTICS LLC
Active
Other names
Corridor Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
GARY EGGLESTON DDS, MS (OWNER)
(319) 459-1975
Entity
Organization
Contact information
Practice address
550 POND VIEW DR STE 2, NORTH LIBERTY, IA 52317-2507
(319) 459-1975
Mailing address
550 POND VIEW DR STE 2, NORTH LIBERTY, IA 52317-2507
(319) 459-1975
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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