NPI | 1275594681 |
---|---|
Doing Business As | SUNSTONE DENTAL |
Entity Type | Organization |
Authorized Contact | KIM ZUBER Cred. Sup. 217-540-5170 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-03-28 |
Last Update Date | 2022-09-26 |