| Endowizz, Inc. | |
|
5105 N Park Dr Suite 1426 Pennsauken NJ 08109-4630 | |
| (856) 662-0018 | |
| (856) 662-8318 |
| Full Name | Endowizz, Inc. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 5105 N Park Dr, Pennsauken, New Jersey |
| Authorized Official Name and Position | Vaughn Clemens (CEO) |
| Authorized Official Contact | 8566620018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endowizz, Inc. 5105 N Park Dr Suite 1426 Pennsauken NJ 08109-4630 Ph: (856) 662-0018 | Endowizz, Inc. 5105 N Park Dr Suite 1426 Pennsauken NJ 08109-4630 Ph: (856) 662-0018 |
| NPI Number | 1043371123 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043371123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 22DI02060100 (New Jersey) | Primary |
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