| NPI | 1023521309 |
|---|---|
| Doing Business As | TODAY'S FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA PETERSEN Credentialing Team Lead 217-540-8972 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |