Organization
ADVANCED ENDODONTICS OF AIKEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGIE CERVANTES (OFFICE MANAGER)
(803) 648-0056
Entity
Organization
Contact information
Practice address
20 TEA OLIVE CT, AIKEN, SC 29803-7543
(803) 648-0056
(803) 648-0057
Mailing address
20 TEA OLIVE COURT, AIKEN, SC 29803-7543
(803) 648-0056
(803) 648-0057
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4058
SC
Other
Enumeration date
11/19/2010
Last updated
02/01/2012
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