| NPI | 1790848026 |
|---|---|
| Doing Business As | FOREST GREEN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | AMY M KROEGER Ins Cood 217-540-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |