| NPI | 1710107032 |
|---|---|
| Doing Business As | DISTINCTIVE DENTAL SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | KENDRA WALKER Credentialing Coordinator 217-540-8513 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2018-04-25 |