NPI | 1538202403 |
---|---|
Doing Business As | PREMIER DENTAL PARTNERS DOWNTOWN |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2007-02-14 |
Last Update Date | 2022-03-11 |