| NPI | 1518616614 |
|---|---|
| Doing Business As | MN DENTALCARE |
| Entity Type | Organization |
| Authorized Contact | BELINDA HAYES Credentialing Coordintor 217-540-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-03-11 |