| NPI | 1639712763 |
|---|---|
| Doing Business As | DENTAL CARE ON MACON |
| Entity Type | Organization |
| Authorized Contact | JESSICA BRITT Credentialing COO Rdinator 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-12-19 |