NPI | 1609152131 |
---|---|
Doing Business As | SENH DENTISTY, LTD. |
Entity Type | Organization |
Authorized Contact | AMY C SENH Dentist 309-788-6001 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 019026488) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 060.010815) |
Enumeration Date | 2011-10-28 |
Last Update Date | 2012-06-29 |