Organization
ENDO PLLC
Active
Other names
One Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
7500 IRON BAR LN, GAINESVILLE, VA 20155-3603
(703) 844-9070
Mailing address
7500 IRON BAR LN, GAINESVILLE, VA 20155-3603
(703) 844-9070
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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