NPI | 1225382211 |
---|---|
Doing Business As | HOWELL BRANCH DENTAL CARE |
Entity Type | Organization |
Authorized Contact | PAM HARDIEK Credentialing/Insurance 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-10-30 |
Last Update Date | 2013-01-08 |