| NPI | 1700449436 |
|---|---|
| Doing Business As | SANGRE DE CRISTO 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 | 2019-04-18 |
| Last Update Date | 2019-07-18 |