| NPI | 1013249242 |
|---|---|
| Doing Business As | VALLEY SMILES DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KENDRA WALKER Credentialing COO Rdinator 217-540-8312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 3836) |
| 1223G0001X Dentist General Practice (Licence: AL 5267) | |
| 1223G0001X Dentist General Practice (Licence: AL 4084) | |
| Enumeration Date | 2010-02-14 |
| Last Update Date | 2015-06-19 |