| NPI | 1770914269 |
|---|---|
| Doing Business As | COMPLETE DENTAL CARE OF RICHMOND |
| Entity Type | Organization |
| Authorized Contact | CARMEN WOODS Insurance/Credentialing 217-540-5141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2014-03-25 |