| NPI | 1801016126 |
|---|---|
| Doing Business As | BIG BEND DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ALL CRED Credentialing 217-540-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-07-13 |