| NPI | 1316101728 |
|---|---|
| Doing Business As | CROSSROADS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CARMEN WOODS Ins Coordinator 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2014-02-04 |