NPI | 1023482288 |
---|---|
Doing Business As | UNIVERSITY PARKWAY DENTAL |
Entity Type | Organization |
Authorized Contact | KENDRA WALKER Credentialing Team Lead 217-540-8312 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-11-25 |
Last Update Date | 2015-11-25 |