| NPI | 1760771497 |
|---|---|
| Doing Business As | VIRGINIA PARKWAY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KELLI WALKER Insurance/Credentialing 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |