| NPI | 1861948846 |
|---|---|
| Doing Business As | FIRST IMPRESSIONS SMILE CENTER |
| Entity Type | Organization |
| Authorized Contact | HEATHER PRUEMER Credentialing Team Lead 217-540-8434 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |