| NPI | 1326645334 |
|---|---|
| Doing Business As | MIDDLESEX DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | TABATHA LEMKE Credentialing Coordinator 217-540-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |