NPI | 1184737363 |
---|---|
Doing Business As | DOGWOOD DENTAL CARE |
Entity Type | Organization |
Authorized Contact | RICHARD WORKMAN Owner/Pc Presendt 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-015765) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2018-08-10 |