NPI | 1619352010 |
---|---|
Doing Business As | DENTAL CARE AT THE PLEX |
Entity Type | Organization |
Authorized Contact | CEMYIRA MCDOUGAL Credentialing 217-764-8609 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2015-07-27 |
Last Update Date | 2024-10-21 |