Organization
PINE LAKES ENDODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK AARON DROLL DMD, MS (ENDODONTIST)
(217) 520-2397
Entity
Organization
Contact information
Practice address
13046 FALCON DR STE 2, BAXTER, MN 56425-4201
(217) 520-2397
Mailing address
13046 FALCON DR STE 2, BAXTER, MN 56425-4201
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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