| NPI | 1447575139 |
|---|---|
| Doing Business As | SUMMERLIN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CARMEN WOODS Insurance Coordinator 217-540-5141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2022-09-26 |