NPI | 1316149867 |
---|---|
Doing Business As | HESSEL PARK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | LINDSAY BEARDEN Ins Coord 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-06-05 |
Last Update Date | 2014-01-07 |