Organization
FIRST STATE ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDI VATNIKA DMD (OWNER/ENDODONTIST)
(302) 274-0130
Entity
Organization
Contact information
Practice address
4420 LIMESTONE RD STE 208, WILMINGTON, DE 19808-2005
(302) 274-0130
Mailing address
4420 LIMESTONE RD STE 208, WILMINGTON, DE 19808-2005
(302) 274-0130
(302) 274-0140
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
03/25/2025
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