NPI | 1013107028 |
---|---|
Doing Business As | CROSSWINDS DENTAL CARE |
Entity Type | Organization |
Authorized Contact | AMY KROEGER Ins Coord 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-07-26 |
Last Update Date | 2007-07-26 |