NPI | 1033783196 |
---|---|
Doing Business As | SPRINGWOODS MARKET DENTAL CARE |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-05-13 |
Last Update Date | 2021-05-13 |