NPI | 1699371856 |
---|---|
Doing Business As | MERCHANTS WAY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JESSICA BRITT Credentialing Coordinator 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-12-11 |
Last Update Date | 2021-02-25 |