| NPI | 1114479136 |
|---|---|
| Doing Business As | MARKHAM FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CASSANDR TEUTSCH Credentialing Coordinator 217-540-8972 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |