Organization
ENDODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY JOSE (OWNER)
(614) 428-7320
Entity
Organization
Contact information
Practice address
1375 CHERRY WAY DR, SUITE 200, GAHANNA, OH 43230-8700
(614) 428-7320
Mailing address
1375 CHERRY WAY DR, SUITE 200, GAHANNA, OH 43230-8700
(614) 428-7320
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
30019954
—
1223E0200X
Endodontics
30020138
OH
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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