NPI | 1417592395 |
---|---|
Doing Business As | COMPLETE DENTAL AT GOVERNMENT CENTER CLINIC |
Entity Type | Organization |
Authorized Contact | JESSICA BRITT Credentialing Coordinator 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-11-14 |
Last Update Date | 2019-11-14 |