| NPI | 1457836918 | 
|---|---|
| Doing Business As | DENTAL CARE AT CROSS POINTE | 
| Entity Type | Organization | 
| Authorized Contact | JESSICA BRITT Credentialing Coordinator 217-540-8426  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2018-10-01 | 
| Last Update Date | 2018-10-01 |