NPI | 1861861056 |
---|---|
Doing Business As | FAMILY DENTAL CARE OF SMYRNA |
Entity Type | Organization |
Authorized Contact | KENDRA WALKER Credentialing Coordinator 217-540-8312 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-09-18 |
Last Update Date | 2015-09-18 |