| NPI | 1306239835 |
|---|---|
| Doing Business As | MORNINGSIDE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LINDSAY BEARDEN Credentialing Coordinator 217-540-5699 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |