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Organization

WHITE MOUNTAIN ENDODONTICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEREMY HARGROVE DMD, MSD (OWNER)
(928) 243-8598
Entity
Organization

Contact information

Practice address
2051 EVERGREEN LN, SHOW LOW, AZ 85901-7928
(928) 457-1200
(928) 457-1199
Mailing address
2051 EVERGREEN LN STE A, SHOW LOW, AZ 85901-7928
(928) 457-1200
(928) 457-1199

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
08/30/2022
Last updated
11/07/2022
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