| NPI | 1548653025 |
|---|---|
| Doing Business As | HOUGHTON FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KELLI ELLSWORTH Insurance 217-540-5152 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |