| NPI | 1467228437 |
|---|---|
| Doing Business As | DENTAL CARE AT THE FOUNTAINS |
| Entity Type | Organization |
| Authorized Contact | BELINDA H. Credentialing Coordinator 217-540-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |