| NPI | 1770359515 |
|---|---|
| Doing Business As | AFFINITY FAMILY DENTAL CHAMPAIGN |
| Entity Type | Organization |
| Authorized Contact | SRINIVAS DURSHANAPALLI President 217-298-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2024-01-23 |