NPI | 1871354969 |
---|---|
Doing Business As | SWIFT CREEK DENTAL CARE |
Entity Type | Organization |
Authorized Contact | CEMYIRA MCDOUGAL Credentialing 217-764-8609 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-01-17 |
Last Update Date | 2024-10-04 |