NPI | 1760854392 |
---|---|
Doing Business As | COMPLETE DENTAL OF EASTON |
Entity Type | Organization |
Authorized Contact | KENDRA WALKER Credentialing Coordinator 217-540-8312 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-10-22 |
Last Update Date | 2015-10-22 |