| NPI | 1902272388 |
|---|---|
| Doing Business As | FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KIM ZUBER Cred Supervisor 217-540-5170 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |