| NPI | 1427428200 |
|---|---|
| Doing Business As | DENTAL CARE OF ROUND LAKE BEACH |
| Entity Type | Organization |
| Authorized Contact | KENDRA WALKER Credentialing Coordinator 217-540-8312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |