NPI | 1790113785 |
---|---|
Doing Business As | VALLEY PARK DENTAL CARE |
Entity Type | Organization |
Authorized Contact | KENDRA WALKER Credentialing Team Lead 217-540-8513 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2013-10-29 |
Last Update Date | 2018-04-26 |