NPI | 1578280467 |
---|---|
Doing Business As | ARTS DISTRICT DENTAL |
Entity Type | Organization |
Authorized Contact | COURTNEY R MONTEITH Credentialing Coordinator 217-540-8306 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-10-21 |
Last Update Date | 2022-10-21 |