NPI | 1730841776 |
---|---|
Doing Business As | BERNWOOD PARK DENTAL CARE |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-10-07 |
Last Update Date | 2021-10-07 |