| Elite Endodontics | |
|
1135 S Lapeer Rd Ste A Lake Orion MI 48360-1432 | |
| (616) 502-2846 | |
| Not Available |
| Full Name | Elite Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1135 S Lapeer Rd Ste A, Lake Orion, Michigan |
| Authorized Official Name and Position | Drew Wayne Moeller (ENDODONTIST) |
| Authorized Official Contact | 6165022846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Endodontics 6965 Oakhurst Ridge Rd Clarkston MI 48348-5053 Ph: () - | Elite Endodontics 1135 S Lapeer Rd Ste A Lake Orion MI 48360-1432 Ph: (616) 502-2846 |
| NPI Number | 1336654102 |
|---|---|
| Provider Enumeration Date | 12/02/2017 |
| Last Update Date | 12/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336654102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2901020373 (Michigan) | Primary |
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