NPI | 1043588817 |
---|---|
Doing Business As | NEIBAUER DENTAL CARE - BRANDYWINE |
Entity Type | Organization |
Authorized Contact | KAM SHICK Insurance Coordinator 217-540-5141 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2011-12-08 |
Last Update Date | 2011-12-08 |