| NPI | 1760779532 |
|---|---|
| Doing Business As | BELVIDERE DENTAL DESIGNS |
| Entity Type | Organization |
| Authorized Contact | HIMANSHI THAKKAR Owner/Dentist 815-544-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 019026435) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |