NPI | 1811212509 |
---|---|
Doing Business As | TOWN CENTER DENTAL |
Entity Type | Organization |
Authorized Contact | CARMEN WOODS Insurance Coordinator 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2010-04-06 |
Last Update Date | 2015-11-05 |