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Organization

ROOTS ENDODONTICS PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAYANK VORA DDS (DOCTOR/OWNER)
(517) 552-2000
Entity
Organization

Contact information

Practice address
6251 GRAND RIVER RD STE 600, BRIGHTON, MI 48114-5321
(517) 552-2000
(517) 552-2885
Mailing address
6251 GRAND RIVER RD STE 600, BRIGHTON, MI 48114-5321
(517) 552-2000
(517) 552-2885

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235161860
TYPE 1 NPI
Enumeration date
06/03/2022
Last updated
07/21/2022
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