NPI | 1154541282 |
---|---|
Doing Business As | SMILE DESIGN DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | HILLARY THULL Cred Coordinator 217-540-8946 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-04-30 |
Last Update Date | 2024-10-03 |