NPI | 1215300777 |
---|---|
Doing Business As | SAINT ANDREWS DENTAL CARE |
Entity Type | Organization |
Authorized Contact | HEATHER PRUEMER Insurance/Credentialing 217-540-8434 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-11-05 |
Last Update Date | 2015-11-05 |