NPI | 1255641171 |
---|---|
Doing Business As | DENTAL CARE OF COLUMBIA |
Entity Type | Organization |
Authorized Contact | BRITTANY NICHELLE HOWARD Credentialing Affiliation COO Rdinat 217-540-8946 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2010-10-13 |
Last Update Date | 2019-08-13 |