| NPI | 1114320504 |
|---|---|
| Doing Business As | SANTA CRUZ RIVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | KENDRA WALKER Credentialing Coordinator 217-540-8513 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2018-03-05 |