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 |
Enumeration Date | 2008-03-11 |
Last Update Date | 2008-03-11 |