| NPI | 1891821492 |
|---|---|
| Doing Business As | ASSOCIATED DENTAL CARE CHANDLER |
| Entity Type | Organization |
| Authorized Contact | HANNAH FISH Credentialing Manager 217-540-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-09-18 |