| NPI | 1598131294 |
|---|---|
| Doing Business As | PICAYUNE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM ZUBER Cred Sup 217-540-5170 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |