| NPI | 1548987654 |
|---|---|
| Doing Business As | THE DENTISTS OF BARTON CREEK ORTHO |
| Entity Type | Organization |
| Authorized Contact | SAMSON LIU Owner/Dentist 217-821-7960 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |