| NPI | 1730372012 |
|---|---|
| Doing Business As | CHAMPAIGN CENTER FOR INVISIBLE BRACES |
| Entity Type | Organization |
| Authorized Contact | AMY KROEGER Ins Coord 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |