| NPI | 1235346149 |
|---|---|
| Doing Business As | THE DENTIST PLACE FOR KIDS LAKELAND |
| Entity Type | Organization |
| Authorized Contact | AMY KROEGER Ins Cood 217-540-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |