| White Mountain Endodontics Pllc | |
|
2051 Evergreen Ln Show Low AZ 85901-7928 | |
| (928) 457-1200 | |
| (928) 457-1199 |
| Full Name | White Mountain Endodontics Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2051 Evergreen Ln, Show Low, Arizona |
| Authorized Official Name and Position | Jeremy Hargrove (OWNER) |
| Authorized Official Contact | 9282438598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Mountain Endodontics Pllc 2051 Evergreen Ln Ste A Show Low AZ 85901-7928 Ph: (928) 457-1200 | White Mountain Endodontics Pllc 2051 Evergreen Ln Show Low AZ 85901-7928 Ph: (928) 457-1200 |
| NPI Number | 1255051223 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 11/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255051223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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