| Your Endodontic Specialist | |
|
24820 Burnt Pine Dr Suite 3 Bonita Springs FL 34134-2028 | |
| (239) 676-1079 | |
| Not Available |
| Full Name | Your Endodontic Specialist |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 24820 Burnt Pine Dr, Bonita Springs, Florida |
| Authorized Official Name and Position | Scott T Baur (OWNER) |
| Authorized Official Contact | 8133136591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Endodontic Specialist 24820 Burnt Pine Dr Suite 3 Bonita Springs FL 34134-2028 Ph: (239) 676-1079 | Your Endodontic Specialist 24820 Burnt Pine Dr Suite 3 Bonita Springs FL 34134-2028 Ph: (239) 676-1079 |
| NPI Number | 1134573207 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134573207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN 17788 (Florida) | Primary |
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