NPI | 1881836385 |
---|---|
Doing Business As | COMFORT CARE DENTAL |
Entity Type | Organization |
Authorized Contact | PAM HARDIEK Insurance/Credentialing 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2009-03-30 |
Last Update Date | 2014-09-17 |