NPI | 1336280841 |
---|---|
Doing Business As | PREMIER DENTAL PARTNERS ORAL SURGERY AND DENTAL IMPLANT CENTER |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-02-08 |
Last Update Date | 2023-02-27 |