NPI | 1013311265 |
---|---|
Doing Business As | CROSS TIMBERS FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JENNIFER HOELSCHER Insurance/Credentialing 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-10-17 |
Last Update Date | 2014-10-17 |