| NPI | 1457742272 |
|---|---|
| Doing Business As | PAVILION CROSSING DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KENDRA WALKER Credentialing COO Rdinator 217-540-8312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN18222) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-20 |