NPI | 1629393962 |
---|---|
Doing Business As | AFFORDABLE DENTISTRY TODAY - ROCKFORD |
Entity Type | Organization |
Authorized Contact | KELLI WALKER Insurance/Credentialing 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2010-03-30 |
Last Update Date | 2010-03-30 |