NPI | 1043977796 |
---|---|
Doing Business As | SARDIS 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 | 2021-11-17 |
Last Update Date | 2024-10-04 |