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NPI Profile for GREAT LAKES ENDODONTICS in PORTAGE, MI.
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endodontics |
1223E0200X |
| NPI # | 1659802395 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/24/2017 | |
| Last updated | 03/24/2017 - About 9 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GREAT LAKES ENDODONTICS
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GREAT LAKES ENDODONTICS