| NPI | 1295011765 |
|---|---|
| Doing Business As | PALM VALLEY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JENNIFER HOELSCHER Credentialing/Insurance 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2014-02-05 |