NPI | 1790833218 |
---|---|
Doing Business As | FUSION DENTAL - COLUMBIA/CLARKSVILLE |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-01-08 |
Last Update Date | 2022-08-03 |