NPI | 1578783817 |
---|---|
Doing Business As | CROW VALLEY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | LINDSAY BEARDEN Ins COO D 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2007-04-27 |
Last Update Date | 2014-02-10 |