NPI | 1336950351 |
---|---|
Doing Business As | ADDISON CENTER DENTAL CARE |
Entity Type | Organization |
Authorized Contact | CEMYIRA MCDOUGAL Credentialing Coordinator 217-764-8609 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2025-01-17 |
Last Update Date | 2025-01-17 |