NPI | 1386052041 |
---|---|
Doing Business As | RIVERS DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JEAN CORNELL Credentialing Coordinator 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-07-25 |
Last Update Date | 2014-09-17 |