| NPI | 1780267906 |
|---|---|
| Doing Business As | SALADO CREEK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | COURTNEY R MONTEITH Credentialing Coordinator 217-540-8306 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2023-05-18 |