| NPI | 1821703158 |
|---|---|
| Doing Business As | FAMILY CARE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | COURTNEY MONTEITH Credentialing Coordinator 217-540-8306 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |