Organization
ROOTVISION ENDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK NUGENT (OWNER)
(310) 791-0666
Entity
Organization
Contact information
Practice address
3663 TORRANCE BLVD STE 3, TORRANCE, CA 90503-4817
(310) 791-0666
Mailing address
3663 TORRANCE BLVD STE 3, TORRANCE, CA 90503-4817
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
53259
CA
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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