NPI | 1659774040 |
---|---|
Doing Business As | ARMED FORCES DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | KIM ZUBER Cred Supervisor 217-540-5170 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2014-09-30 |
Last Update Date | 2017-01-10 |