| NPI | 1154938678 |
|---|---|
| Doing Business As | DENTAL ARTS OF SURPRISE |
| Entity Type | Organization |
| Authorized Contact | TABATHA LEMKE Credentialing Coordinator 217-540-6078 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |