| NPI | 1649481359 |
|---|---|
| Doing Business As | AMBER HILLS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASMINE REARDON Credentialing Coordinator 217-540-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5975) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2015-12-08 |