| NPI | 1154215291 |
|---|---|
| Other Name | OSF SFMC DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | KIRSTEN MARIE LARGENT CFO, Osf Healthcare System 309-308-5255 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-17 |