NPI | 1437871159 |
---|---|
Doing Business As | DENTAL CARE AT ESTRELLA CROSSROADS |
Entity Type | Organization |
Authorized Contact | BELINDA HUERTA Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-09-19 |
Last Update Date | 2022-09-19 |