NPI | 1720244080 |
---|---|
Doing Business As | DENTAL CARE AT BENTS LANDING |
Entity Type | Organization |
Authorized Contact | AMY KROEGER Insurance/Credentialing 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2008-08-05 |
Last Update Date | 2024-01-24 |