NPI | 1427495688 |
---|---|
Doing Business As | BIGELOW FAMILY DENTISTRY-STEVENSON |
Entity Type | Organization |
Authorized Contact | KIM ZUBER Cred Sup 217-540-5170 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4762) |
Enumeration Date | 2013-05-29 |
Last Update Date | 2015-06-25 |