| NPI | 1821014382 |
|---|---|
| Doing Business As | GALLERIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | KIM ZUBER Cred Sup. 217-540-5170 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2015-11-25 |