| NPI | 1083978555 |
|---|---|
| Doing Business As | SUWANEE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KENDRA WALKER Credentialing Team Lead 217-540-8312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2016-11-07 |