NPI | 1467674002 |
---|---|
Doing Business As | AFFORDABLE DENTISTRY TODAY - ALTON |
Entity Type | Organization |
Authorized Contact | AMY KROEGER Ins COO D 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2007-05-03 |
Last Update Date | 2008-05-21 |