| NPI | 1508182650 |
|---|---|
| Doing Business As | ASHEBORO DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | PAM HARDIEK Insurance/Credentailing 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2011-10-05 |