| NPI | 1578830048 |
|---|---|
| Doing Business As | DENTAL CARE OF PRINCE FREDERICK |
| Entity Type | Organization |
| Authorized Contact | JESSICA BRITT Insurance/Credentialing 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2015-10-29 |