NPI | 1275184467 |
---|---|
Doing Business As | RIVER CROSSING DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JESSICA BRITT Credentialing COO Rdinator 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2019-09-27 |
Last Update Date | 2019-12-27 |