| NPI | 1447506316 |
|---|---|
| Doing Business As | FIRST CHOICE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MARIE KUHL Credentialing Manager 217-540-5146 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |