NPI | 1205390788 |
---|---|
Doing Business As | CANAM DENTAL |
Entity Type | Organization |
Authorized Contact | ERICKA SOTO Lead Provider Relations Specialist 312-274-4581 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-01-29 |
Last Update Date | 2022-08-24 |