| NPI | 1255910089 |
|---|---|
| Doing Business As | FLORENCE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HANNAH FISH Credentialing Manager 217-540-5699 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2023-05-18 |