| NPI | 1366916272 |
|---|---|
| Doing Business As | BAINES DENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SHAY L CRAWFORD Office Manager 217-698-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |