NPI | 1205584075 |
---|---|
Doing Business As | PLANTATION DENTAL CARE |
Entity Type | Organization |
Authorized Contact | HILLARY THULL Credentialing Coordinator 217-540-8946 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-03-11 |
Last Update Date | 2022-03-11 |