| NPI | 1336348390 |
|---|---|
| Former Legal Business Name | PLANTATION POINTE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRITTANY N HOWARD Credentialing Coordinator 217-540-8946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 2606) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: SC 2606) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2019-03-21 |