NPI | 1861738015 |
---|---|
Doing Business As | DENTAL CARE OF ELKHART |
Entity Type | Organization |
Authorized Contact | MARIE KUHL Credentialing Manager 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2012-12-17 |
Last Update Date | 2014-01-03 |