| NPI | 1154766269 |
|---|---|
| Doing Business As | ATLANTIC FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALLISON VARNER Insurance/Credentialing 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2014-09-09 |