Organization
MMS ENDODONTIC SPECAILIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY G MINCHAU (ENDODONTIST)
(304) 319-0498
Entity
Organization
Contact information
Practice address
1415 RIVER AVE STE B, CUMBERLAND, MD 21502-4632
(240) 362-7017
(240) 362-7270
Mailing address
1415 RIVER AVE STE B, CUMBERLAND, MD 21502-4632
(240) 362-7017
(240) 362-7270
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
14910
MD
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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