| NPI | 1578034369 |
|---|---|
| Doing Business As | DENTAL CARE AT MILLS CROSSING |
| Entity Type | Organization |
| Authorized Contact | JESSICA BRITT Credentialing COO Rdinator 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2019-03-29 |