Organization
ENDODONTICS OF EDWARDSVILLE PLLC
Active
Other names
Signature Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JAMES MARTENS DMD, MS (OWNER)
(309) 507-2877
Entity
Organization
Contact information
Practice address
22 GLEN ED PROFESSIONAL PARK STE B, GLEN CARBON, IL 62034-3300
(618) 659-2030
(217) 659-2035
Mailing address
22 GLEN ED PROFESSIONAL PARK STE B, GLEN CARBON, IL 62034-3300
(618) 659-2030
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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