| NPI | 1356594279 |
|---|---|
| Doing Business As | DENTAL CARE OF WESTOVER HILLS |
| Entity Type | Organization |
| Authorized Contact | HANNAH FISH Credentialing Coordinator 217-540-5699 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 26296) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 22472) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2015-10-12 |