NPI | 1821365248 |
---|---|
Doing Business As | NEIBAUER DENTAL CARE - HARRISON CROSSING |
Entity Type | Organization |
Authorized Contact | PAM HARDIEK Insurance / Credentialing 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2011-11-30 |
Last Update Date | 2011-11-30 |