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Organization

ENDODONTICS LIMITED INC

Active
Other names
James A DeVengencie DDS MS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES ALLEN DEVENGENCIE DDS MS (PRESIDENT)
(440) 686-3636
Entity
Organization

Contact information

Practice address
25111 COUNTRY CLUB BLVD, STE 201, NORTH OLMSTED, OH 44070
(440) 686-3636
(440) 686-3637
Mailing address
25111 COUNTRY CLUB BLVD, STE 201, NORTH OLMSTED, OH 44070
(440) 686-3636
(440) 686-3637

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
30019902
OH

Other

Enumeration date
09/07/2006
Last updated
08/22/2020
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