| NPI | 1902969215 |
|---|---|
| Doing Business As | BOWLING GREEN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CARMEN WOODS Insurance/Receivables 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2014-01-11 |