NPI | 1598542151 |
---|---|
Doing Business As | MEADOW RANCH DENTAL CARE |
Entity Type | Organization |
Authorized Contact | BELINDA HUERTA Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-09-08 |
Last Update Date | 2023-09-08 |