NPI | 1700251725 |
---|---|
Doing Business As | FAMILY DENTAL CARE OF FITCHBURG |
Entity Type | Organization |
Authorized Contact | KENDRA WALKER Credentialing Team Lead 217-540-8312 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-12-02 |
Last Update Date | 2015-12-29 |