| NPI | 1043600125 |
|---|---|
| Doing Business As | CHESAPEAKE CENTER FOR COMPLETE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HEARTLAND DENTAL Credentialing Coordinator 217-540-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2023-01-26 |