| NPI | 1578733044 |
|---|---|
| Doing Business As | PAXTON DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | TODD A JOHNSON Dentist/Owner 217-379-4667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 019025511) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |