| NPI | 1811229719 |
|---|---|
| Doing Business As | VILLAGE CREST FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KAM SHICK Insurance Coordinatior 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2014-09-17 |