| NPI | 1427261668 |
|---|---|
| Doing Business As | VILLAGE PLAZA DENTAL DESIGNS |
| Entity Type | Organization |
| Authorized Contact | HANNAH FISH Credentialing Manager 217-540-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2025-09-18 |