NPI | 1457087652 |
---|---|
Doing Business As | SELECT DENTAL CARE |
Entity Type | Organization |
Authorized Contact | CEMYIRA MCDOUGAL Credentialing Coordinator 217-764-8609 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-07-29 |
Last Update Date | 2022-07-29 |