| NPI | 1407232218 |
|---|---|
| Doing Business As | FAMILY DENTAL CARE OF MEDINA |
| Entity Type | Organization |
| Authorized Contact | CARMEN WOODS Credentialing 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |