NPI | 1265654701 |
---|---|
Doing Business As | DIAMOND VALLEY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JENNIFER HOELSCHER Insurance/Credentialing 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-05-03 |
Last Update Date | 2021-02-25 |