| NPI | 1568515278 |
|---|---|
| Doing Business As | WHITTAKER ROAD DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMY KROEGER Ins Cood 217-540-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |