NPI | 1023415254 |
---|---|
Doing Business As | MILLBROOK DENTAL CARE |
Entity Type | Organization |
Authorized Contact | KENDRA WALKER Credentialing Coordinator 217-540-8312 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-12-03 |
Last Update Date | 2018-04-25 |