| NPI | 1619352010 |
|---|---|
| Doing Business As | DUCK CREEK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CARMEN WOODS Credentialing 217-540-5141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |