| NPI | 1366698656 |
|---|---|
| Doing Business As | CHAMPAIGN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | TODD A. JOHNSON President/Dentist 217-351-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 019025511) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |