| NPI | 1679998314 |
|---|---|
| Doing Business As | JANESVILLE FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | LINDSAY BEARDEN Insurance/Credentialing 217-540-5699 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |