| NPI | 1386913283 |
|---|---|
| Doing Business As | CARUS DENTAL GEORGETOWN WILDWOOD |
| Entity Type | Organization |
| Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 13687) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2022-01-20 |