NPI | 1548880115 |
---|---|
Doing Business As | DENTAL CARE AT LELAND TOWN CENTER |
Entity Type | Organization |
Authorized Contact | JESSICA BRITT Credentialing Coordinator 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-04-23 |
Last Update Date | 2024-10-04 |