NPI | 1447621669 |
---|---|
Doing Business As | CHESTNUT HILLS DENTAL MCCANDLESS COVENANT |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: PA DS029676) |
Enumeration Date | 2015-10-14 |
Last Update Date | 2022-04-18 |