Organization
ESCONDIDO ENDODONTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOSEPH HANLON JR. DMD (PRESIDENT)
(760) 739-1400
Entity
Organization
Contact information
Practice address
488 EAST VALLEY PARKWAY, SUITE 307, ESCONDIDO, CA 92025-3373
(760) 739-1400
(760) 739-1100
Mailing address
488 EAST VALLEY PARKWAY, SUITE 307, ESCONDIDO, CA 92025-3373
(760) 739-1400
(760) 739-1100
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
37237
CA
1223E0200X
Endodontics
Primary
43444
CA
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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