| Innovative Endodontics, P.c. | |
|
600 Valley Rd Wayne NJ 07470-3535 | |
| (973) 633-0097 | |
| (973) 633-5029 |
| Full Name | Innovative Endodontics, P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 600 Valley Rd, Wayne, New Jersey |
| Authorized Official Name and Position | Lawrence R Law (PRESIDENT) |
| Authorized Official Contact | 9736330097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Endodontics, P.c. 600 Valley Rd Wayne NJ 07470-3535 Ph: (973) 633-0097 | Innovative Endodontics, P.c. 600 Valley Rd Wayne NJ 07470-3535 Ph: (973) 633-0097 |
| NPI Number | 1568485910 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568485910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 17695 (New Jersey) | Primary |
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