| NPI | 1487874723 |
|---|---|
| Doing Business As | WATERFORD FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LINDSAY BEARDEN Ins Cood 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2014-02-10 |