| NPI | 1821318908 |
|---|---|
| Doing Business As | QUINCY FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | TESSA JEAN JOHNSON Owner/Dentist 217-223-7051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |