| NPI | 1841540168 |
|---|---|
| Doing Business As | ADVANCED DENTAL CARE OF SPRINGFIELD |
| Entity Type | Organization |
| Authorized Contact | MATT G VANDERMOLEN President 217-546-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019785) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |