| NPI | 1699323246 |
|---|---|
| Doing Business As | COUNTY LINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KRISTY WOLTER Insurance Manager 630-339-3172 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |