Organization
CANTON ENDODONTICS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ILIANA MORONTA (OFFICE LEAD)
(943) 400-2911
Entity
Organization
Contact information
Practice address
170 RIVER GREEN AVE STE 102, CANTON, GA 30114-4685
(943) 400-2911
(943) 400-2880
Mailing address
170 RIVER GREEN AVE STE 102, CANTON, GA 30114-4685
(943) 400-2911
(943) 400-2880
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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