| NPI | 1396803722 |
|---|---|
| Doing Business As | VAN BUREN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HANNAH FISH Credentialing Manager 217-540-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3370) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-10-20 |