Organization
ENDOWIZZ, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAUGHN CLEMENS DDS (CEO)
(856) 662-0018
Entity
Organization
Contact information
Practice address
5105 N PARK DR, SUITE 1426, PENNSAUKEN, NJ 08109-4630
(856) 662-0018
(856) 662-8318
Mailing address
5105 N PARK DR, SUITE 1426, PENNSAUKEN, NJ 08109-4630
(856) 662-0018
(856) 662-8318
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22DI02060100
NJ
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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