NPI | 1225204456 |
---|---|
Doing Business As | TANYARD SPRINGS FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | AMY KROEGER Ins Coordinator 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2008-05-07 |
Last Update Date | 2008-05-07 |