| NPI | 1528210382 |
|---|---|
| Doing Business As | FARMINGTON DENTAL CENTRE |
| Entity Type | Organization |
| Authorized Contact | AMY KROEGER Ins Coord 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2014-09-17 |