NPI | 1609465350 |
---|---|
Doing Business As | WILLIAMSON ROAD DENTAL CARE |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-1500 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-01-15 |
Last Update Date | 2024-10-04 |