NPI | 1326240201 |
---|---|
Doing Business As | GAINESVILLE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | AMY KROEGER Ins Coord 217-540-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-06-04 |
Last Update Date | 2022-08-02 |