| NPI | 1538452636 |
|---|---|
| Doing Business As | HENDERSONVILLE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KAM SHICK Insurance COO Rdinator 217-540-5141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2014-09-17 |