NPI | 1013379635 |
---|---|
Doing Business As | CAPE SMILES DENTISTRY |
Entity Type | Organization |
Authorized Contact | KENDRA WALKER Credentialing Team Lead 217-540-8312 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2016-03-23 |
Last Update Date | 2016-03-23 |