NPI | 1285291203 |
---|---|
Doing Business As | DANIELA DENTAL |
Entity Type | Organization |
Authorized Contact | TABATHA LEMKE Cred 217-540-6078 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-05-24 |
Last Update Date | 2019-05-24 |