Individual
SCOTT THEODORE ENDRIZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, CAGS
Contact information
Practice address
6600 E MAIN ST, SUITE A, FARMINGTON, NM 87402-5124
(505) 436-2727
(505) 436-2737
Mailing address
6600 E MAIN ST, SUITE A, FARMINGTON, NM 87402-5124
(505) 436-2727
(505) 436-2737
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD4202
NM
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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