NPI | 1245981570 |
---|---|
Doing Business As | CUMMINS DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | ETHAN DUEWER Dentist 217-691-7778 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-01-18 |
Last Update Date | 2022-01-18 |