| NPI | 1356772958 |
|---|---|
| Doing Business As | VERONA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KIM WILSON Cred. Supervisor 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |