NPI | 1255702478 |
---|---|
Doing Business As | DENTAL CARE AT PLAINFIELD CROSSING |
Entity Type | Organization |
Authorized Contact | KENDRA WALKER Credentialing Coordinator 217-540-8312 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-10-14 |
Last Update Date | 2015-10-14 |