| NPI | 1215204839 |
|---|---|
| Doing Business As | FAMILY DENTAL CARE OF WARRENTON |
| Entity Type | Organization |
| Authorized Contact | KENDRA WALKER Credentialing Coordinator 217-540-8312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401414394) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2015-08-28 |