NPI | 1720398688 |
---|---|
Doing Business As | ALL ASPECTS DENTAL |
Entity Type | Organization |
Authorized Contact | KENDRA WALKER Credentialing Supervisor 217-540-8312 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2010-10-13 |
Last Update Date | 2016-11-29 |