NPI | 1225393465 |
---|---|
Doing Business As | LIMESTON SMILES OF ATHENS |
Entity Type | Organization |
Authorized Contact | KIM ZUBER Cred Supews 217-540-5170 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 3836) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2015-06-01 |