| NPI | 1710283007 |
|---|---|
| Doing Business As | BOCA PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | CARMEN WOODS Insurance Coordinator 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2022-09-26 |