| NPI | 1083834303 |
|---|---|
| Doing Business As | STONE CREEK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KENDRA WALKER Credentialing Coordinator 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2014-05-09 |