NPI | 1801517743 |
---|---|
Doing Business As | PRAIRIE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | ROBIN HAYES Office Manager 217-546-0412 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-09-08 |
Last Update Date | 2022-10-04 |