Organization
ADVANCED ENDODONTIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID E EPELMAN DORRA (OWNER/MANAGER)
(305) 615-6300
Entity
Organization
Contact information
Practice address
1045 KANE CONCOURSE STE 204, BAY HARBOR ISLANDS, FL 33154-2119
(305) 615-6300
Mailing address
1045 KANE CONCOURSE STE 204, BAY HARBOR ISLANDS, FL 33154-2119
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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