NPI | 1235209701 |
---|---|
Doing Business As | CHESTNUT HILLS DENTAL MT. PLEASANT |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS022433L) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2022-04-18 |