| NPI | 1528693926 |
|---|---|
| Doing Business As | HUMBERT ROAD DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SARA HANAHAN Owner 618-465-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-06 |