| NPI | 1487931143 |
|---|---|
| Doing Business As | HERSHEY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PAM HARDIEK Insurance/Credentialing 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2014-05-09 |