| NPI | 1407311244 |
|---|---|
| Doing Business As | EDISON FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JESSICA BRITT Credentialing COO Rdinator 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-04-10 |