NPI | 1407123045 |
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Doing Business As | NEIBAUER DENTAL CARE. - WALDORF |
Entity Type | Organization |
Authorized Contact | KAM SHICK Insurance COO Rdinator 217-540-5141 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2011-11-28 |
Last Update Date | 2011-11-28 |