| NPI | 1174737274 |
|---|---|
| Doing Business As | COLTON COMPLETE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA PETERSEN Credentialing Team Lead 217-540-8972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE7492) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2018-02-13 |