NPI | 1013382191 |
---|---|
Doing Business As | CARUS DENTAL SPRING |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing COO Rdinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 30141) |
Enumeration Date | 2015-12-01 |
Last Update Date | 2022-01-19 |