NPI | 1194030031 |
---|---|
Doing Business As | DEER VALLEY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | CARMEN WOODS Insurance Coordinator 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ S4313) |
Enumeration Date | 2010-08-16 |
Last Update Date | 2014-02-04 |